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OMB Control No: 0938-1347	ICR Reference No: 202605-0938-002
Status: Received in OIRA	Previous ICR Reference No: 202309-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-FFS
Title: Add-On Payments for New Medical Services and Technologies Paid Under the Inpatient Prospective Payment System (IPPS) (CMS-10638)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/05/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2026
Responses	47	62
Time Burden (Hours)	1,055	1,655
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	47	62	-15
Annual Time Burden (Hours)	1,055	1,655	-600
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: Reduction of burden is due to elimination of requests for certain minor details or questions that are unnecessary in the Alternative Pathway Designation and Technology Info section and elimination of certain FDA section questions to further simplify the FDA section.

Annual Cost to Federal Government: $997,120

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: Malcolm Wilson 667 414-0087 malcolm.wilson@cms.hhs.gov

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