View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1071	ICR Reference No: 201309-0938-020
Status: Historical Active	Previous ICR Reference No: 200906-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: 20480
Title: Ambulatory Surgical Centers Conditions of Coverage
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: 04/21/2014
	Date Received in OIRA: 09/18/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved
Responses	21,200	0	0
Time Burden (Hours)	206,700	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	21,200	800	20,400
Annual Time Burden (Hours)	206,700	7,800	198,900
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: Changes to the burden are a reflection of the increase in the number of Medicare certified ASCs at this time compmared to the previous collection and the changes in currenty average hourly rate fro medical professionals used in the calculations.

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