View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0600	ICR Reference No: 201608-0938-006
Status: Historical Active	Previous ICR Reference No: 201302-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-838
Title: Medicare Credit Balance Reporting Requirements and Supporting Regulations in 42 CFR 405.371, 405.378, and 413.20
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/26/2017
	Date Received in OIRA: 08/12/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved
Responses	210,328	0	0
Time Burden (Hours)	630,984	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	210,328	26,976	183,352
Annual Time Burden (Hours)	630,984	80,928	550,056
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: The change in burden is associated with an increase in the number of providers that submit claims to Medicare and are subject to Medicare credit balance reporting.

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