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: 0938-0107	ICR Reference No: 201408-0938-001
Status: Historical Active	Previous ICR Reference No: 201106-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supp. Regs in 42 CFR Sections 413.20 and 413.24
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: 08/28/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	09/30/2014
Responses	3,264	0	5,812
Time Burden (Hours)	163,200	0	290,600
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,264	5,812	-2,548
Annual Time Burden (Hours)	163,200	290,600	-127,400
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change in burden is due to two factors: 1) the number of respondents decreased from 5,812 in 2010 to 3,264 in 2014; and 2) the standard rate increased from $15 per hour in 2010 to $20 per hour in 2014.

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