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OMB Control No: 0938-1280	ICR Reference No: 202512-0938-021
Status: Received in OIRA	Previous ICR Reference No: 202211-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Medical Necessity and Contract Amendments Under Mental Health Parity (CMS-10556)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 12/30/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	473,213	426,719
Time Burden (Hours)	79,050	71,294
Cost Burden (Dollars)	26,992	66,811

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	473,213	426,719	46,494
Annual Time Burden (Hours)	79,050	71,294	7,756
Annual Cost Burden (Dollars)	26,992	66,811	-39,819

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: No

Burden Reduction Due to:

Short Statement: In this 2025 iteration, we are adjusting our burden estimates based on more recent data. We have also corrected the non-labor cost.

Annual Cost to Federal Government: $607,005

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: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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