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View RCF - OIRA Conclusion
RCF ID:
202302-0938-001CF
Previous RCF ID:
202211-0938-001CF
Status:
Active
Expiration Date:
11/30/2025
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Host OMB Control No:
1210-0169
Host ICR Reference No:
202302-1210-003
Title:
Requirements Related to No Surprise Billing Act, Part II (Independent Dispute Resolution Process) (CMS-10791)
Type of RCF:
RCF Recertification
OIRA Conclusion Action:
Approved
Conclusion Date:
02/24/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/24/2023
Terms of Clearance:
Description of Agency Usage:
HHS 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:
$6,000,000
Agency Contact:
Jamaa Hill 301 492-4190
Common Form Information Collections (IC) in this RCF:
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
RCF Summary of Burden:
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
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: