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View ICR - OIRA Conclusion

OMB Control No: 0938-1439	ICR Reference No: 202411-0938-006
Status: Active	Previous ICR Reference No: 202304-0938-027
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO - 10829
Title: Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829)
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: 01/06/2025
	Date Received in OIRA: 11/22/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	36 Months From Approved	06/30/2026
Responses	11	0	18
Time Burden (Hours)	5,830	0	9,540
Cost Burden (Dollars)	0	0	1,025,748

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	11	18	-7
Annual Time Burden (Hours)	5,830	9,540	-3,710
Annual Cost Burden (Dollars)	0	1,025,748	-1,025,748

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: Burden hours have decreased (from 9540 to 5,830) as a result of a fewer number of respondents (State Exchanges) being required to submit IPPTA. The number of State Exchanges has decreased from 18 to 11 respondents.

Annual Cost to Federal Government: $1,391,477

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]? Yes

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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