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View ICR - OIRA Conclusion

OMB Control No: 0938-0022	ICR Reference No: 202307-0938-008
Status: Active	Previous ICR Reference No: 202002-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-FFS
Title: Home Health Agency Cost Report and Supporting Regulations (CMS-1728-20)
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: 01/02/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/21/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved
Responses	10,944	0	0
Time Burden (Hours)	2,134,080	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	10,944	805	10,139
Annual Time Burden (Hours)	2,134,080	156,975	1,977,105
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: The increase in burden and cost are due to two factors. The number of respondents increased from 10,139 in 2020 to 10,944 in 2023, which has increased the burden by 156,975 hours. The hourly rates and associated administrative/overhead costs increased based on the most recent BLS Occupational and Employment Data (May 2021) (for categories 43- 3031, bookkeeping, accounting, and audit clerks, and 13-2011, accounting and auditing clerks). This resulted in an increased cost per respondent of $679 (from $9,838 per respondent in 2020 to $10,517 per respondent in 2023).

Annual Cost to Federal Government: $6,999,471

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