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View ICR - OIRA Conclusion

OMB Control No: 0938-1368	ICR Reference No: 202212-0938-002
Status: Historical Active	Previous ICR Reference No: 202208-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI
Title: Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)
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: 02/01/2023
	Date Received in OIRA: 12/01/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved	07/31/2024
Responses	564,010	0	151,451
Time Burden (Hours)	269,413	0	108,108
Cost Burden (Dollars)	846,013	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	564,010	151,451	412,559
Annual Time Burden (Hours)	269,413	108,108	161,305
Annual Cost Burden (Dollars)	846,013	0	846,013

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The annualized burden hours and costs have increased due to the addition of the new service category. The annualized burden hours have increased from 108,108 hours stated in the CY 2021 OPPS/ASC final rule for the current services to 269,413 with the addition of the new service category.

Annual Cost to Federal Government: $9,300,000

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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