View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0035	ICR Reference No: 201605-0938-009
Status: Historical Active	Previous ICR Reference No: 201305-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-1957
Title: Social Security Office (SSO) Report of State Buy-in Problems
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 with change	Conclusion Date: 06/16/2016
	Date Received in OIRA: 05/12/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	09/30/2016
Responses	3,936	0	5,600
Time Burden (Hours)	1,312	0	1,816
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	3,936	5,600	3,936	-5,600
Annual Time Burden (Hours)	1,312	1,816	1,312	-1,816
Annual Cost Burden (Dollars)	0	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: The number of respondents increased since the last time this information collection was submitted for OMB approval. We have adjusted the burden accordingly. It is assumed that increase in forms received represents a beneficiary making more complaints than usual. The previous submission for approval of 5600 responses and 1816 time in burden hours is incorrect. It was supposed to be 3802 responses and 1267 time in burden hours. With this submission there was an increase from 3802 to 3936 responses due to complaints and an increase in burden hours from 1267 to 1312.

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