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View ICR - OIRA Conclusion

OMB Control No: 0938-0749	ICR Reference No: 202408-0938-034
Status: Active	Previous ICR Reference No: 201910-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI
Title: On-Site Inspection for Durable Medical Equipment (DME) Supplier Location and Supporting Regulations in 42 CFR, Section 424.57 (CMS-R-263)
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: 02/28/2025
	Date Received in OIRA: 09/16/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2028	36 Months From Approved
Responses	16,029	0	0
Time Burden (Hours)	16,029	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	16,029	7,774	8,255
Annual Time Burden (Hours)	16,029	7,774	8,255
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 prior renewal of the CMS-R-263 estimated approximately 8,255 DMEPOS suppliers were visited per year. Updated information shows 16,029 suppliers received site visits for fiscal year 2023. The difference in respondents is 7,774 (16,029 minus 8,255). These are exact figures from the NSVC’s systems and are taken directly from the actual site visits processed for calendar year 2023. The increase of 7,774 burden hours is the difference in the DMEPOS enrollment population requiring a site visit in 2019 compared to fiscal year 2023.

Annual Cost to Federal Government: $0

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. Yes

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: Jamaa Hill 301 492-4190

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