View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0102	ICR Reference No: 202110-0938-010
Status: Historical Active	Previous ICR Reference No: 201709-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No: CMS-216-94
Title: Organ Procurement Organization/Histocompatibility Laboratory Cost Report (CMS-216-94)
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: 11/02/2021
	Date Received in OIRA: 10/18/2021
Terms of Clearance: CMS should improve their monitoring of expiring information collections to avoid unnecessary reinstatement requests.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved
Responses	95	0	0
Time Burden (Hours)	4,275	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	95	-7	102
Annual Time Burden (Hours)	4,275	-315	4,590
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 is a reinstatement without change. The burden has been adjusted due to a decrease in the number of respondents from 102 to 95. The cost burden has been adjusted by using the most recent BLS hourly wage data.

Annual Cost to Federal Government: $414,500

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? No

Agency Contact: William Parham 4107864669

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