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OMB Control No: 0938-1281	ICR Reference No: 202609-0938-004
Status: Received in OIRA	Previous ICR Reference No: 202405-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Medicaid Managed Care Quality including Supporting Regulations in §§438.310, 438.330, 438.332, 438.334, and 438.340 (CMS-10553)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/15/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2027
Responses	522,513	6,105
Time Burden (Hours)	1,439,789	1,437,735
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	522,513	6,105	-1	516,409
Annual Time Burden (Hours)	1,439,789	1,437,735	2,054	0
Annual Cost Burden (Dollars)	0	0	0	0

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: For the states, our currently approved response figure has decreased by (one) while our annualized time estimate has increased by 2,053 hours and our cost estimate has increased by $200,868. The increased cost estimate is associated with the added time and BLS’ updated wages. For the private sector, our currently approved burden estimates are corrected by removing the burden associated with Equation 12.33(PS) and reassigning the burden to beneficiaries in Equation 12.33(B). We have also adjusted the cost in association with BLS’ updated wages. Overall, this iteration increases our active burden estimates by 516,408 responses, 2,053 hours, and $1,751,646.

Annual Cost to Federal Government: $80,401,782

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: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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