Continued use of the cost report is approved through January, 1983. Over the next 12 months HCFA will be expected to identify methods of reducing respondent burden, and consider suggestions from organizations such as the Hospital Financial Management Association, the American Hospital Association, Blue Cross/Blue Shield etc. HCFA should advise OMB periodically regarding progress in identifying burden reduction options, including legislative changes needed to accomplish burden reduction.
Inventory as of this Action
Requested
Previously Approved
01/31/1983
01/31/1983
12/31/1981
10,800
0
10,800
35,391,600
0
759,825
0
0
0
PROVIDERS PARTICIPATING IN THE MEDICARE PROGRAM ARE REQUIRED TO SUBMIT THIS ANNUAL COST REPORT TO EFFECT FINAL SETTLEMENT OF COSTS FOR PROVIDING HEALTH CARE SERVICES TO MEDICARE BENEFICIARIES. THIS FORM WILL BE USED BY HOSPITALS, SKILLED NURSING FACILITIES & HEALTH CARE COMPLEXES.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
HOSPITAL, SKILLED NURSING FACILITY & HEALTH CARE CAMPLEX COST REPORT