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View ICR - OIRA Conclusion

OMB Control No: 0938-0986	ICR Reference No: 201507-0938-014
Status: Historical Active	Previous ICR Reference No: 201206-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: (CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/06/2016
	Date Received in OIRA: 07/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved	04/30/2016
Responses	478	0	1,164
Time Burden (Hours)	120	0	291
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	478	1,164	-686
Annual Time Burden (Hours)	120	291	-171
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: . However, we have implemented a policy change to only require reporting once every three years. State survey agencies have been instructed to collect the attestation from one third of IRFs in their State annually. Therefore, the number of IRFs submitting the form annually is 478. The annual hourly burden rate has subsequently decreased from 290 to 120, a total reduction of 170 hours annually.

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