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OMB Control No: 0938-1437	ICR Reference No: 202604-0938-014
Status: Received in OIRA	Previous ICR Reference No: 202402-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: OHEI
Title: Advancing Interoperability and Improving Prior Authorization Processes (CMS-10843)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/20/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2027
Responses	341	365
Time Burden (Hours)	181,867	6,896,438
Cost Burden (Dollars)	0	0

Authorizing Statute(s): EO: EO 13813 Name/Subject of EO: Promoting Healthcare Choice and Competition
   US Code: 42 USC 1395w-4(q)(2) Name of Law: Social Security Act
   US Code: 42 USC 1395w-22(h) Name of Law: Social Security Act
   US Code: 42 USC 1395w-22(g)(1) Name of Law: Social Security Act
   US Code: 42 USC 1396(a)(6) Name of Law: Social Security Act

Citations for New Statutory Requirements: EO: EO 13813 Name/Subject of EO: Promoting Healthcare Choice and Competition
US Code: 42 USC 1395w-4(q)(2) Name of Law: Social Security Act
US Code: 42 USC 1395w-22(h) Name of Law: Social Security Act
US Code: 42 USC 1395w-22(g)(1) Name of Law: Social Security Act
US Code: 42 USC 1396(a)(6) Name of Law: Social Security Act

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	341	365	-24
Annual Time Burden (Hours)	181,867	6,896,438	-6,714,571
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: Changing Regulations

Short Statement: CMS removed previously approved burden associated with tasks considered to be usual and customary business practices. Also, to more accurately calculate the burden associated with the proposed and finalized requirements to implement FHIR APIs, CMS has removed API implementation burden erroneously included in the previous versions of this package. These revisions would align the approach for calculating information collection burden across existing interoperability-focused PRA packages and streamline the content of the package for increased accuracy and fidelity to the requirements of the PRA. This change eliminates estimated burden of this package by $684 million. For additional information on this change, see section IV.D.1. in the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule. This iteration of the package also eliminates duplicative burden covered in other PRA packages.

Annual Cost to Federal Government: $12,310,000

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: William Parham 4107864669

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