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View ICR - OIRA Conclusion

OMB Control No: 0938-1264	ICR Reference No: 202312-0938-001
Status: Active	Previous ICR Reference No: 202009-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Programs of All-Inclusive Care for the Elderly (PACE) PACE Quality Data Monitoring and Reporting (10525)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/19/2024
	Date Received in OIRA: 12/08/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	36 Months From Approved	01/31/2024
Responses	1,279	0	1,143
Time Burden (Hours)	223,592	0	173,664
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,279	1,143	136
Annual Time Burden (Hours)	223,592	173,664	49,928
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: CMS adjusted the number of POs from 134 POs to 152 POs, which resulted in an increase in the annual burden. This revised estimate represents an increase in burden by 175 hours (1,471 hrs - 1,296 hrs) as we now estimate 1,471 hours of work by PO and increasing the total burden from 173,664 to 223,592.

Annual Cost to Federal Government: $1,109,466

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

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