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View ICR - OIRA Conclusion

OMB Control No: 0938-0386	ICR Reference No: 201311-0938-025
Status: Historical Active	Previous ICR Reference No: 200701-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No: 20951
Title: Conditions for Coverage of Suppliers of End Stage Renal Disease (ESRD) Services and Supporting Regulations
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/21/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/20/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved
Responses	142,660	0	0
Time Burden (Hours)	524,661	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	142,660	74,055	68,605
Annual Time Burden (Hours)	524,661	363,951	160,710
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated burden for this request is based on the current number of Medicare-participating ESRD facilities, with a prediction for 213 new facilities each year. Changes to ongoing burden reflect these new facility counts.