View RCF - OIRA Conclusion

Title: No Surprise Act: IDR Process

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/21/2022
Terms of Clearance:

Description of Agency Usage: IRS will be using the IDR model notices for health care providers, health facilities and self-pay individuals.

Authorizing Statute(s): PL: Pub.L. 116 - 260 103 and 105 Name of Law: Consolidated Appropriations Act 2021

Annual Cost to Federal Government: $0
Agency Contact: Kevin Knopf 202 317-5500 kevin.knopf@irscounsel.treas.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Responses	Hours	Dollars	Document Type
Federal IDR Process for Air Ambulance Services	4,497	6,549	17,003	Other
				Other
				Other
				Other
				Other
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities	13,743	26,422	60,162	Other
				Other
				Other
				Other
				Other
IDR Entity Certification and IDR Entity Monthly Reporting	85	0	22,135	Other
				Other
				Other
				Other
Request of Extension of Time Periods for Extenuating Circumstances	13	3	0	Other

RCF Summary of Burden:

	Total Approved	Change Due to New Statute
Annual Number of Responses	18,338	18,338
Annual Time Burden (Hours)	32,974	32,974
Annual Cost Burden (Dollars)	99,300	99,300

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: This is a new information collection.