View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-1282	ICR Reference No: 202405-0938-012
Status: Active	Previous ICR Reference No: 202203-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Children's Health Insurance Program Managed Care and Supporting Regulations (CMS-10554)
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: 01/13/2025
	Date Received in OIRA: 06/25/2024
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	36 Months From Approved	10/31/2025
Responses	2,739,490	0	2,735,906
Time Burden (Hours)	402,811	0	410,588
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	2,739,490	2,735,906	3,584
Annual Time Burden (Hours)	402,811	410,588	-7,777
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This 2024 iteration, is associated with our May 10, 2024 (89 FR 41002) managed care final rule (CMS-2439-F, RIN 0938–AU99). Overall, the rule adds 37,501 hours. Outside of the rule, this collection of information request also corrects our active time estimate by minus 45,277 hours. When combined, the net change is plus 3,586 responses and minus 7,776 hours. Rounding sets estimates at +/- 2.

Annual Cost to Federal Government: $20,800,000

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]? 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)? Yes

Is this ICR related to the Pandemic Response? No

Agency Contact: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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