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View ICR - OIRA Conclusion

OMB Control No: 0938-0701	ICR Reference No: 201008-0938-023
Status: Historical Active	Previous ICR Reference No: 200701-0938-016
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Health Outcomes Survey (HOS) and Supporting Regulations at 42 CFR 422.152
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/10/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/30/2010
Terms of Clearance: *

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved	01/31/2011
Responses	1,099,560	0	320,040
Time Burden (Hours)	366,520	0	105,613
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	1,099,560	320,040	779,520
Annual Time Burden (Hours)	366,520	105,613	260,907
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: Over the past five years the overall baseline response rate has fallen short of the 70% target. This is not saying that all plan by plan baseline response rates were below 70%, but that as a whole the overall baseline response rate has fallen below 70% consistently over the past five years. Drastically increasing respondent burden has adverse implications to future response rates so adjustments to the sampling methodology were developed to moderately increase the number of responses where appropriate and eliminate the burden where prudent.