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View ICR - OIRA Conclusion

OMB Control No: 0938-0975	ICR Reference No: 202410-0938-020
Status: Active	Previous ICR Reference No: 202103-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Medicare Drug Coverage and Your Rights (CMS-10147)
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: 12/30/2024
	Date Received in OIRA: 11/05/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2027	36 Months From Approved	02/28/2025
Responses	55,215,940	0	49,681,292
Time Burden (Hours)	919,898	0	827,690
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	55,215,940	49,681,292	5,534,648
Annual Time Burden (Hours)	919,898	827,690	92,208
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 159,624 hour increase in burden is an adjustment that is based on the increased number of applicable pharmacies (+2,900 pharmacies) and the increased number of standardized pharmacy notices (+5,534,648 notices) that are likely to be distributed.

Annual Cost to Federal Government: $1,281

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

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