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View ICR - OIRA Conclusion

OMB Control No: 0938-1043	ICR Reference No: 202011-0938-005
Status: Historical Active	Previous ICR Reference No: 201810-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No: 21626
Title: (CMS-10239) Conditions of Participation for Critical Access Hospitals and Supporting Regulations
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/10/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2024	36 Months From Approved	03/31/2021
Responses	119,467	0	118,252
Time Burden (Hours)	33,905	0	24,183
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 42 USC 1395hh Name of Law: Regulations
   US Code: 42 USC 1395aa Name of Law: Use of State Agencies to determine compliance by providers of services with CoPs
   US Code: 42 USC 1395x(e) and (mm) Name of Law: Part E - Miscellaneous Provisions
   US Code: 42 USC 1395(a)(8) Name of Law: Conditions of and Limitations on Payment for Services
   US Code: 42 USC 1320b-8 Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
   US Code: 42 USC 1302 Name of Law: Rules and Regulations
   US Code: 42 USC 1395i-4(a-f) Name of Law: Medicare Rural Hospital Flexibility Program

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	119,467	118,252	1,215
Annual Time Burden (Hours)	33,905	24,183	9,722
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: No

Burden Reduction Due to:

Short Statement: This package has been updated to reflect changes related to patient care policies. Although we are changing that requirement from an annual review to a biennial review, resulting in real-world savings, the burden associated with that review was not previously accounted for in this package due to it being considered a usual and customary business practice. Introducing the remaining biennial review to this package results in an increase in burden from 24,183 hours to 33,905 hours.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Denise King 410 786-1013 Denise.King@cms.hhs.gov