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View ICR - OIRA Conclusion

OMB Control No: 0938-0829	ICR Reference No: 201604-0938-003
Status: Historical Active	Previous ICR Reference No: 201308-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Notice of Denial of Medical Coverage (or Payment) (NDMCP) (CMS-10003)
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: 01/17/2017
	Date Received in OIRA: 04/11/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	7,050,602	0	6,960,410
Time Burden (Hours)	1,174,630	0	1,159,604
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	7,050,602	6,960,410	90,192
Annual Time Burden (Hours)	1,174,630	1,159,604	15,026
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: No

Burden Reduction Due to:

Short Statement: Based on data reported to CMS by Medicare health plans, there were 33,574,293 adverse and partially favorable decisions issued in 2014. CMS acknowledges that these burden estimates are significantly higher than the estimates contained in the previous package for CMS-10003 in 2013. The 26,613,883 response increase in the number of reported adverse and partially favorable decisions (from 6,960,410 based on 2011 data to 33,574,293 based on 2014 data) is primarily due to changes in reporting requirements for plans.

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