View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1210-0169	ICR Reference No: 202606-0938-001CF
Status: Active	Previous ICR Reference No: 202302-0938-001CF
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Requirements Related to No Surprise Billing Act, Part II (Independent Dispute Resolution Process) (CMS-10791)
Type of Information Collection: RCF Recertification	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved	Conclusion Date: 06/04/2026
	Date Received in OIRA: 06/04/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2029	36 Months From Approved	06/30/2026
Responses	8,853,972	0	8,853,972
Time Burden (Hours)	15,405,907	0	15,405,908
Cost Burden (Dollars)	136,645,120	0	136,645,089

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	8,853,972	8,853,972	0
Annual Time Burden (Hours)	15,405,907	15,405,908	-1
Annual Cost Burden (Dollars)	136,645,120	136,645,089	31

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:

Annual Cost to Federal Government: $6,000,000

Does this IC contain surveys, censuses, or employ statistical methods?

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.

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.

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? No

Agency Contact: Jamaa Hill 301 492-4190

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