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View ICR - OIRA Conclusion

OMB Control No: 0938-0659	ICR Reference No: 202409-0938-002
Status: Active	Previous ICR Reference No: 202112-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: Medicaid Drug Utilization Review (DUR) Program (CMS-R-153)
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: 12/23/2024
	Date Received in OIRA: 09/04/2024
Terms of Clearance: OMB is approving this information collection request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved	02/28/2025
Responses	676	0	663
Time Burden (Hours)	41,860	0	41,004
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	676	663	13
Annual Time Burden (Hours)	41,860	41,004	856
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: We added, revised and/or deleted certain FFS, MCO, and Abbreviated MCO survey questions. Additionally, aspects of the survey were simplified with grammar updates and formatting edits, resulting in a net burden increase of 1 hour per response. This iteration also adds Puerto Rice for a total of 52 respondents. Overall, this iteration increases our time estimate by 856 hours and our cost estimate by $350,146. See section 15 of this Supporting Statement for details.

Annual Cost to Federal Government: $2,216,118

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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