View Information Collection Request (ICR) Package

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: 0938-0860	ICR Reference No: 201404-0938-011
Status: Historical Active	Previous ICR Reference No: 201103-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Recognition of Payment for New Technology Services for Ambulatory Payment Classifications under the Outpatient Propsective Payment System (CMS-10054)
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: 09/30/2014
	Date Received in OIRA: 04/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	10	0	15
Time Burden (Hours)	160	0	180
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	10	15	-5
Annual Time Burden (Hours)	160	180	-20
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: While there are no program changes, our burden estimates have been adjusted by decreasing the number of respondents from 15 to 10 and by increasing the reporting time from 12 to 16 hr (per response). Overall, the number of annual responses have decreased from 15 to 10 and the total hours (aggregate) have decreased from 180 to 160. The cost to the federal government has also decreased.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.