View RCF  - OIRA Conclusion

202302-0938-001CF 202211-0938-001CF
Active 11/30/2025
HHS/CMS
1210-0169 202302-1210-003
Requirements Related to No Surprise Billing Act, Part II (Independent Dispute Resolution Process) (CMS-10791)
RCF Recertification
 Approved   02/24/2023
Retrieve Notice of Action (NOA) 02/24/2023
HHS 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
 $6,000,000
Jamaa Hill 301 492-4190

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Federal IDR Process for Air Ambulance Services 8,853,969 15,405,906 136,644,869 Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities 1 2 15 Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
IDR Entity Certification and IDR Entity Monthly Reporting 1 0 205 Other
Other
Other
Other
Other
Other
Other
Other
Other
Request of Extension of Time Periods for Extenuating Circumstances 1 0 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 8,853,972 8,853,972 0 0 0 0
Annual Time Burden (Hours) 15,405,908 15,405,908 0 0 0 0
Annual Cost Burden (Dollars) 136,645,089 136,645,089 0 0 0 0

Yes
Miscellaneous Actions
No