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View ICR - OIRA Conclusion

OMB Control No: 0938-0975	ICR Reference No: 201408-0938-016
Status: Historical Active	Previous ICR Reference No: 201203-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Standardized Pharmacy Notice: Your Prescription Cannot be Filled (f/k/a Medicare Prescription Drug Coverage and Your Rights)
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: 08/29/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved	01/31/2015
Responses	37,620,240	0	37,087,402
Time Burden (Hours)	626,749	0	617,876
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	37,620,240	37,087,402	532,838
Annual Time Burden (Hours)	626,749	617,876	8,873
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: The annual hourly burden associated with this collection is estimated to be 626,749 hours. The annual hourly burden in the 2011 PRA submission for this collection was 617,876 hours. The increase in the burden hours from the previous PRA submission is due to an adjustment in the agency's estimate of the number of standardized pharmacy notices that are likely to be distributed based on CY 2013 prescription drug event data.

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