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View ICR - OIRA Conclusion

OMB Control No: 0938-0778	ICR Reference No: 201607-0938-014
Status: Historical Active	Previous ICR Reference No: 201305-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 (CMS-R-282)
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: 01/23/2017
	Date Received in OIRA: 07/25/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	01/31/2017
Responses	56,782	0	52,260
Time Burden (Hours)	5,906	0	5,414
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	56,782	52,260	4,522
Annual Time Burden (Hours)	5,906	5,414	492
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 change in burden is due to: • An increase in the number of Medicare health plans reporting this data (from 670 to 741 Medicare health plans); • Consequent revisions to our estimates to reflect the increases and costs associated with producing appeals and grievance data reports for all 741 Medicare health plans; and • The 2013 PRA package’s respondent cost calculations used OPM’s GS 07 Step 1 salary of $16.28/hr. In this 2016 iteration, we are using BLS data and adjusting the mean hourly wage to include fringe benefits. The cost in this iteration is using a revised wage of $34.94/hr.

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