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OMB Control No: 0938-1245	ICR Reference No: 202509-0938-025
Status: Received in OIRA	Previous ICR Reference No: 202002-0938-016
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Conditions of Participation for Community Mental Health Centers and Supporting Regulations (CMS-10506)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/30/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	7,240	0
Time Burden (Hours)	1,435	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,240	-15,506	22,746
Annual Time Burden (Hours)	1,435	-1,783	3,218
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overall change in burden from the previously approved package is a decrease of 1,883 total annual burden hours, from 3,218 hours to 1,434 hours. This is because there has been a reduction in the number of CMHCs billing Medicare (from 52 CMHCs in 2015 to 36 CMHCs in 2021), as well as a decrease of clients receiving services at a CMHC (from 5,202 clients in 2015 to 1,475 clients in 2021).

Annual Cost to Federal Government: $22,892

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: Denise King 410 786-1013 Denise.King@cms.hhs.gov