View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1439	ICR Reference No: 202304-0938-027
Status: Historical Active	Previous ICR Reference No: 202301-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO - 10829
Title: Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2023
	Date Received in OIRA: 04/27/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved
Responses	18	0	0
Time Burden (Hours)	9,540	0	0
Cost Burden (Dollars)	1,025,748	0	0

ICR Summary of Burden

	Total Approved	Change Due to New Statute
Annual Number of Responses	18	18
Annual Time Burden (Hours)	9,540	9,540
Annual Cost Burden (Dollars)	1,025,748	1,025,748

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 new collection of information.

Annual Cost to Federal Government: $1,391,478

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: Jamaa Hill 301 492-4190

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