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View ICR - OIRA Conclusion

OMB Control No: 0938-1071	ICR Reference No: 201704-0938-009
Status: Historical Active	Previous ICR Reference No: 201309-0938-020
Agency/Subagency: HHS/CMS	Agency Tracking No: 20480
Title: (CMS-10279) Ambulatory Surgical Centers Conditions of Coverage
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/15/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/28/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	22,000	0	21,200
Time Burden (Hours)	214,500	0	206,700
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	22,000	21,200	800
Annual Time Burden (Hours)	214,500	206,700	7,800
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: Changes to the burden are a reflection of the increase in number of Medicare certified ASCs at this time compared to the previous collection. The number of ASCs increased from 5,300 to 5,500 therefore the burden hours increased from 206,700 to 214,500. There were also changes in current average hourly rate for medical professionals used in the calculations. In addition, the figures include a 100% benefits and overhead package figured as part of their salary.