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View ICR - OIRA Conclusion

OMB Control No: 0938-0926	ICR Reference No: 202509-0938-017
Status: Active	Previous ICR Reference No: 202507-0938-021
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105)
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: 02/09/2026
	Date Received in OIRA: 11/26/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	36 Months From Approved	02/28/2026
Responses	207,500	0	190,000
Time Burden (Hours)	41,500	0	51,300
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	207,500	190,000	17,500
Annual Time Burden (Hours)	41,500	51,300	-9,800
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Although the average number sampled has increased, the hour burden has decreased from 51,300 in the previous projection to 41,500 due to a reduction in the survey length. The survey has decreased from 16 minutes to 12 minutes. See section B.3. Methods to Maximize Response Rate for more information on the ICH CAHPS Survey response rate.

Annual Cost to Federal Government: $1,498,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

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