View RCF
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script provide functions for this page.
View RCF - OIRA Conclusion
RCF ID:
202302-1545-001CF
Previous RCF ID:
202211-1545-003CF
Status:
Active
Expiration Date:
12/31/2025
Agency/Subagency:
TREAS/IRS
Agency Tracking No:
Host OMB Control No:
1210-0169
Host ICR Reference No:
202302-1210-003
Title:
No Surprise Act: IDR Process
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:
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
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Federal IDR Process for Air Ambulance Services
4,497
7,825
69,403
Other
Other
Other
Other
Other
Other
Other
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
13,743
27,074
212,113
Other
Other
Other
Other
Other
Other
Other
Other
IDR Entity Certification and IDR Entity Monthly Reporting
85
0
17,463
Other
Other
Other
Other
Request of Extension of Time Periods for Extenuating Circumstances
13
3
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
18,338
18,338
0
0
0
0
Annual Time Burden (Hours)
34,902
34,902
0
0
0
0
Annual Cost Burden (Dollars)
298,979
298,979
0
0
0
0
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: