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View ICR - OIRA Conclusion

OMB Control No: 0938-1368	ICR Reference No: 202405-0938-022
Status: Active	Previous ICR Reference No: 202212-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI
Title: Proposed Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)
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: 11/18/2024
	Date Received in OIRA: 05/24/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	36 Months From Approved	11/30/2024
Responses	564,010	0	564,010
Time Burden (Hours)	316,412	0	269,413
Cost Burden (Dollars)	846,013	0	846,013

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	564,010	564,010	0
Annual Time Burden (Hours)	316,412	269,413	46,999
Annual Cost Burden (Dollars)	846,013	846,013	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: Due to the increase in the number of prior authorization submissions burden hours have increased from 269,413 to 316,412, a total increase of 46,999.

Annual Cost to Federal Government: $25,300,000

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]? 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: William Parham 4107864669

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