View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-1311	ICR Reference No: 202611-0938-005
Status: Active	Previous ICR Reference No: 202509-0938-019
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI
Title: Pre-Claim Review Demonstration For Home Health Services (CMS-10599)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 11/17/2026
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/06/2026
	Date Received in OIRA: 11/05/2026
Terms of Clearance: This collection is approved under the emergency processing provisions of the PRA. CMS will ensure timely submission of the ongoing approval for this collection via the PRA's standard processing procedures.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	6 Months From Approved	12/31/2027
Responses	3,177,716	0	3,177,716
Time Burden (Hours)	1,600,608	0	1,600,608
Cost Burden (Dollars)	74,047,943	0	74,047,943

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,177,716	3,177,716
Annual Time Burden (Hours)	1,600,608	1,600,608
Annual Cost Burden (Dollars)	74,047,943	74,047,943

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: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $88,700,000

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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