Assurance and Certification of Compliance (NPRM)

OMB 0945-0008

Requiring certain recipients and applicants to assure and certify compliance serves two purposes. First, through the act of reading and reviewing the statutory requirements to which recipients or applicants assure and certify compliance, recipients would be apprised of their obligations under the applicable Federal health care conscience and associated anti-discrimination laws. Second, a recipient’s or applicant’s awareness of its obligation would increase the likelihood that it would comply with such laws and consequently afford entities and individuals protection of their conscience rights and protection from coercion or discrimination. Because of this awareness, the Department anticipates that proposed § 88.4 may generate changes in the policies, procedures, and operations of the persons and entities covered

The latest form for Assurance and Certification of Compliance (NPRM) expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form HHS Form 690 Assurance of Compliance Form and Instruction
0945-0008 Supporting document for 690 complaint form_proofed 02-28-23 rev.docx Supporting Statement A
Assurance of Compliance Form and Instruction
Assurance and Certification Requirements Other-form
88.4(a) (Update Policies and Procedures; Train Workforce)
88.4(a) (Review Policies and Procedures)
88.4(a) (Review and sign assurance and certification)

All Historical Document Collections

202302-0945-001 Approved without change	Reinstatement without change of a previously approved collection	2023-03-01
201906-0945-003 Approved with change	New collection (Request for a new OMB Control Number)	2019-06-25
201801-0945-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2018-02-02

OMB Details

88.4(a) (Review and sign assurance and certification)

Federal Enterprise Architecture: Health - Consumer Health and Safety