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View ICR - OIRA Conclusion

OMB Control No: 0938-0610	ICR Reference No: 201312-0938-008
Status: Historical Active	Previous ICR Reference No: 200810-0938-019
Agency/Subagency: HHS/CMS	Agency Tracking No: 21020
Title: Advanced Directives (Medicare and Medicard) - BDP-718
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: 02/06/2014
	Date Received in OIRA: 12/09/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved
Responses	55,044,127	0	0
Time Burden (Hours)	2,836,441	0	0
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): PL: Pub.L. 105 - 33 4001 Name of Law: Establishment of Medicare+Choice program.
   PL: Pub.L. 101 - 508 4206 Name of Law: Omnibus Reconciliation Act of 1990
   PL: Pub.L. 101 - 508 4751 Name of Law: Omnibus Reconciliation Act of 1990
   PL: Pub.L. 105 - 33 4641 Name of Law: Placement of advance directive in medical record.
   PL: Pub.L. 105 - 33 4002 Name of Law: Transitional rules for current medicare HMO program.

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	55,044,127	34,665,791	20,378,336
Annual Time Burden (Hours)	2,836,441	1,657,514	1,178,927
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Changes to the burden estimates have changed due to the increase in the number of individuals who will receive services annually. Additionally, the total of organizations increased as a whole but there is a decrease in the amount of providers that will now be affected by the 1one-time burden. There was an increase to the wages of the Billing and Posting Clerk.

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