Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0974	ICR Reference No: 201309-0938-009
Status: Historical Active	Previous ICR Reference No: 200810-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No: 20488
Title: Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/12/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2016	36 Months From Approved
Responses	34	0	0
Time Burden (Hours)	56,100	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	34	0	34
Annual Time Burden (Hours)	56,100	27,540	28,560
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: This is a revision of a current approved collection with minor adjusted information requirement collection. There is an 810-hour increase in burden per State per program as part of a new process. Based on the past experience in PERM operation, the adjustment is made to ensure the quality of the data will comply with the data requirement during the measurement and an increased focus on developing effective corrective action plans.