View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0456	ICR Reference No: 201612-0938-015
Status: Historical Active	Previous ICR Reference No: 201611-0938-017
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-R-64
Title: Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105
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 without change	Conclusion Date: 05/15/2017
	Date Received in OIRA: 12/15/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	1,245	0	0
Time Burden (Hours)	2,490	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,245	55	1,190
Annual Time Burden (Hours)	2,490	110	2,380
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 increase in burden from 2,150 hours as shown on CMS' previous Request for OMB Review, to 2,490 hours shown above, directly reflects an increase in the number of hospitals.

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