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OMB Control No: 0938-1091	ICR Reference No: 202604-0938-020
Status: Received in OIRA	Previous ICR Reference No: 201911-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: (CMS-10282) Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations
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: 04/27/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	158	0
Time Burden (Hours)	1,260	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	158	-30	188
Annual Time Burden (Hours)	1,260	-244	1,504
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: The estimated annual burden hours to the industry decreased from 1,504 to 1,260 hours, a 16% decrease. The annual cost increased from $103,776 to $108,190, a 4% increase. The 16% decrease in burden hours is primarily due to the decrease in currently certified CORFs from 188 to 155 and the addition of IC-1a for newly certified CORFs to develop a utilization review plan, which was not a new requirement but the burden estimate was inadvertently missing from the last PRA submission

Annual Cost to Federal Government: $11,857

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

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