View RCF  - OIRA Conclusion

202204-1545-001CF 202203-1545-007CF
Active 06/30/2022
TREAS/IRS
1210-0169 202202-1210-002
No Surprise Act: IDR Process
RCF Recertification
 Approved   04/11/2022
Retrieve Notice of Action (NOA) 04/11/2022
IRS will be using the IDR model notices for health care providers, health facilities and self-pay individuals.
PL: Pub.L. 116 - 260 103 and 105 Name of Law: Consolidated Appropriations Act 2021
 $0
Kevin Knopf 202 317-5500 kevin.knopf@irscounsel.treas.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Federal IDR Process for Air Ambulance Services 4,497 6,746 56,040 Other
Other
Other
Other
Other
Other
Other
Other
Other
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities 13,743 27,074 198,247 Other
Other
Other
Other
Other
Other
Other
Other
Other
IDR Entity Certification and IDR Entity Monthly Reporting 85 0 22,135 Other
Other
Other
Other
Other
Other
Other
Other
Other
Request of Extension of Time Periods for Extenuating Circumstances 13 3 0 Other
Other

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,338 18,338 0 0 0 0
Annual Time Burden (Hours) 33,823 32,974 0 0 849 0
Annual Cost Burden (Dollars) 276,422 99,300 0 0 177,122 0

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