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View ICR - OIRA Conclusion

OMB Control No: 0938-0659	ICR Reference No: 201809-0938-001
Status: Historical Active	Previous ICR Reference No: 201604-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: Medicaid Drug Utilization Review (DUR) Program (CMS-R-153)
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: 10/29/2018
	Date Received in OIRA: 09/27/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	06/30/2019
Responses	663	0	663
Time Burden (Hours)	41,004	0	20,808
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	663	663	0
Annual Time Burden (Hours)	41,004	20,808	20,196
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 annual reporting instrument is being revised to allow states to report responses to the survey directly into the CMS hosted MDP online system, or a SurveyGizmo weblink. Additionally, for FFY 2018 and beyond, the reporting instrument will include questions for Medicaid MCOs in accordance with the requirement that states are required to report on their MCO DUR processes. We have also added some new questions to various sections in the FFS portion of the reporting instrument (a survey), and created an additional set of questions focused on MCO DUR activities. This increased the amount of information collected by about 100 percent. The overall annual report preparation burden will change due to the increase in burden of reporting both Medicaid fee-for-service and MCO DUR activity. Overall, we increased our annual burden estimate from the approved 20,808 hours to 41,004 proposed hour (see section 15 of the Supporting Statement for details).

Annual Cost to Federal Government: $1,969,135

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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