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View ICR - OIRA Conclusion

OMB Control No: 0938-0976	ICR Reference No: 202409-0938-015
Status: Active	Previous ICR Reference No: 202310-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146)
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: 11/13/2024
	Date Received in OIRA: 09/19/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	36 Months From Approved	12/31/2024
Responses	2,962,857	0	2,631,728
Time Burden (Hours)	740,714	0	657,932
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,962,857	2,631,728	331,129
Annual Time Burden (Hours)	740,714	657,932	82,782
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: An increased number of denial notices being issued is responsible for increase in our estimated burden for the Part D denial notice. Based on current validated 2022 data, the estimated annual hour burden for this package is 740,714.25 which represents an increase of 82,782.25 hours. From the time that this collection was approved in 2022, there has been an increase of Part D plan sponsors, from 743 sponsors with previous data to a current count of 772 plan sponsors based on 2022 validated data. This change represents an overall increase of 29 plan sponsors.

Annual Cost to Federal Government: $1,324

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. Yes

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: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov

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