View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0691	ICR Reference No: 200908-0938-006
Status: Historical Active	Previous ICR Reference No: 200606-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106
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 without change	Conclusion Date: 10/05/2009
	Date Received in OIRA: 08/19/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	800	0	100
Time Burden (Hours)	400	0	100
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	800	100	700
Annual Time Burden (Hours)	400	100	300
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: The increase in burden is due to an estimated increase in the number of requests for recalculation and also the estimated increase in the number of requests for MedPAR data that resulted from the FY 2006 Inpatient Prospective Payment System Rule. Because of this rule, CMS no longer requires that a hospital have a properly pending appeal before the PRRB relating to the hospitals DSH patient percentage in order to request its MedPAR data associated with calculation of its Medicare fraction or SSI ratio beginning with cost reporting periods that include December 8, 2004 (70 Fed. Reg. 47439). Consequently, CMS also no longer charges for data associated with these time periods.

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