View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-1083	ICR Reference No: 201612-0938-005
Status: Historical Inactive	Previous ICR Reference No: 201312-0938-020
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-10311
Title: Medicare Program/Home Health Prospective Payment System Rate Update for CY2010: Physician Narrative Requirement, CY2011 Final Physician Face-to-Face Encounter
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 03/13/2017
	Date Received in OIRA: 12/23/2016
Terms of Clearance: As submitted, the request is not an "extension without change." Substantive changes are discussed (including one-time costs and overall burden reductions resulting from rulemaking) that are outside the scope of an "extension without change." Such changes must be submitted via a revision request. To avoid a lapse in the current approval, a revision (or a straightforward extension that does not include substantive changes) request must be submitted before the end of March, 2017.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	08/31/2017
Responses	3,281,452	0	3,281,452
Time Burden (Hours)	277,384	0	277,384
Cost Burden (Dollars)	0	0	0

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