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View ICR - OIRA Conclusion

OMB Control No: 0938-1053	ICR Reference No: 202609-0938-002
Status: Active	Previous ICR Reference No: 202402-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/09/2026
	Date Received in OIRA: 09/09/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2029	36 Months From Approved	04/30/2027
Responses	451	0	410
Time Burden (Hours)	4,633	0	5,003
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Administrative Requirements for Section 6071 of the DRA	CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10398, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249	, , , , , , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	451	410	41
Annual Time Burden (Hours)	4,633	5,003	-370
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: This 2026 iteration proposes to reduce reporting burden and improve reporting consistency by introducing a revised and streamlined Semi-Annual Progress Report template. Overall, this iteration would reduce our active time estimate by 370 hours.

Annual Cost to Federal Government: $27,512

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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