View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0841	ICR Reference No: 202109-0938-011
Status: Historical Active	Previous ICR Reference No: 201704-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: State Children's Health Insurance Program and Supporting Regulations (CMS-R-308)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/01/2021
	Date Received in OIRA: 09/29/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	10/31/2021
Responses	16,024,071	0	9,537,276
Time Burden (Hours)	803,280	0	479,140
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	16,024,071	9,537,276	6,486,795
Annual Time Burden (Hours)	803,280	479,140	324,140
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: This iteration proposes to: (1) remove certain reporting requirements, revise the information collection instrument, and revise the instructions document under the Statistical Report, (2) change the respondent’s occupation and make adjustments to the wage and cost estimates for all the requirements, (3) adjust the number of respondents for all the requirements, and (4) adjust the number of enrollees under written notice using more recent data. Overall, we project an increase of 6,486,795 responses, 324,140 hours, and $9,836,593.

Annual Cost to Federal Government: $0

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]? Yes

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? No

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

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