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View ICR - OIRA Conclusion

OMB Control No: 0938-1141	ICR Reference No: 201501-0938-004
Status: Historical Active	Previous ICR Reference No: 201501-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10379
Title: Rate Increase Disclosure and Review Reporting Requirements (CMS-10379)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/15/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/15/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	07/31/2017	07/31/2017
Responses	9,356	0	359
Time Burden (Hours)	84,990	0	1,885
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	9,356	359	8,997
Annual Time Burden (Hours)	84,990	1,885	83,105
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: As noted in the non-substanative change request, the existing burden estimates have been revised to match the corrected supporting statement. The total burden is being revised from 1,885 hours to 84,990 hours.