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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATE OF NEED FOR HEALTH FACILITIES AND ASSURANCE OF STATE STANDARDS

ICR 198210-2502-002 · OMB 2502-0210 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
144103 CERTIFICATE OF NEED FOR HEALTH FACILITIES AND ASSURANCE OF STATE STANDARDS Form Migrated
ICR Details
2502-0210 198210-2502-002
Historical Active 198104-2502-002
HUD/OH
CERTIFICATE OF NEED FOR HEALTH FACILITIES AND ASSURANCE OF STATE STANDARDS
Extension without change of a currently approved collection   No
Regular
Approved without change 11/04/1982
Retrieve Notice of Action (NOA) 10/12/1982
  Inventory as of this Action Requested Previously Approved
11/30/1985 11/30/1985 12/31/1982
250 0 250
50 0 50
0 0 0
THIS FORM IS USED TO COMPLY WITH STATUTORY REQUIREMENTS OF S.232 AND 242 OF THE NAT'L HOUSING ACT CERTIFICATES OF NEED AND ASSURANCE OF ENFORCEMENT OF STATE STANDARDS ARE REQUIRED BY THE STATUTE AS A CONDITION OF PROVIDING MORTGAGE INSURANCE FOR NURSING HOMES AND/OR INTERMEDITATE CARE FACILITIES AND HOSPITALS. THE FORM IS TO BE USED B STATE AGENCIES TO REPORT TO HUD.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATE OF NEED FOR HEALTH FACILITIES AND ASSURANCE OF STATE STANDARDS HUD 2576-HF
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250 250 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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.
10/12/1982