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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATE OF NEED FOR HEALTH FACILITY AND ASSURANCE OF ENFORCEMENT OF STATE STANDARDS

ICR 198901-2502-009 · 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
144109 CERTIFICATE OF NEED FOR HEALTH FACILITY AND ASSURANCE OF ENFORCEMENT OF STATE STANDARDS Form Migrated
ICR Details
2502-0210 198901-2502-009
Historical Active 198812-2502-002
HUD/OH
CERTIFICATE OF NEED FOR HEALTH FACILITY AND ASSURANCE OF ENFORCEMENT OF STATE STANDARDS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/11/1989
Retrieve Notice of Action (NOA) 01/26/1989
  Inventory as of this Action Requested Previously Approved
11/30/1991 11/30/1991
120 0 0
3,020 0 0
0 0 0
THE CERTIFICATE OR NEED IS USED TO COMPLY WITH SECTIONS 232 AND 242 OF THE NATIONAL HOUSING ACT FOR NURSING HOMES, ICF'S AND HOSPITALS, WHICH REQUIRES THE STATES TO OPERATION GOVERNING IT.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATE OF NEED FOR HEALTH FACILITY AND ASSURANCE OF ENFORCEMENT 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 120 0 0 0 120 0
Annual Time Burden (Hours) 3,020 0 0 0 3,020 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.
01/26/1989