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: 0938-1281	ICR Reference No: 202405-0938-013
Status: Active	Previous ICR Reference No: 202208-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/20/2024
	Date Received in OIRA: 05/14/2024
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	09/30/2027	36 Months From Approved	03/31/2026
Responses	6,105	0	2,655
Time Burden (Hours)	1,437,735	0	33,523
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	6,105	2,655	3,450
Annual Time Burden (Hours)	1,437,735	33,523	1,404,212
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This iteration is associated with the changes in our May 10, 2024 (89 FR 41002) final rule (CMS-2439-F; RIN 0938-AU99). Overall, this iteration increases our active burden estimates by 1,404,213 hours, 3,450 responses, and $136,386,939. This collection of information does not provide respondents with any reporting instruments or instruction/guidance documents other than what is published in our final rules and codified in the CFR.

Annual Cost to Federal Government: $80,302,411

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

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