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: 0938-1327	ICR Reference No: 201911-0938-013
Status: Historical Active	Previous ICR Reference No: 201612-0938-020
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Programs of All-Inclusive Care for the Elderly (PACE) 2020 Audit Protocol (CMS-10630)
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: 02/04/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/04/2019
Terms of Clearance: OMB approves this package for three years consistent with the understanding the CMS will collect more data on the burden of audits for PACE organizations to inform future packages.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	03/31/2020
Responses	35	0	72
Time Burden (Hours)	21,000	0	17,280
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	35	72	-37
Annual Time Burden (Hours)	21,000	17,280	3,720
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: Collection documents have increased from 18 documents in the 2017 audit protocol to 22 documents. The total burden per audit for each PACE organization has increased from of 240 hours to 600 hours due to assuming that all four PACE organization individuals identified will work simultaneously during the audit and each person will work 150 hours. This burden estimates for 2020 will accurately reflect the burden for PACE organizations and the government when undergoing an audit. New regulation has gone into effect which allows CMS to conduct ongoing audits using a risk assessment. This new regulation allows CMS to reduce the number of audits conducted annually from approximately 70 audits a year to approximately 35 audits a year.

Annual Cost to Federal Government: $5,247,020

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: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov