Approved for use through 3/2000 under the condition that no later than 10/98, HCFA responds in writing to the attached OMB concerns.
Inventory as of this Action
Requested
Previously Approved
03/31/2000
03/31/2000
10/31/1998
11,000,000
0
11,000,000
183,333
0
183,333
0
0
0
Hospitals participating in the Medicare program have agreed to distribute "An Important Message from Medicare" to beneficiaries during each admission. Receiving this information will provide the beneficiary with some ability to participate and/or initate discussions concerning discussions affecting Medicare coverage or payment and about his or her appeal rights in response to any hospital's notice to the effect that Medicare will no longer cover continued care in the hospital.
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.
An Important Message from Medicare -- Title XVII Section 1866(a) (1)(M), 42 CFR Section 466.78, 42 CFR Section 489.27, and 42 CFR Section 489.20