View RCF - OIRA Conclusion

Title: No Surprise Act: IDR Process

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 06/04/2026
	Date Received in OIRA: 06/04/2026
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	7,825	69,403	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	13,743	8,383	291,861	Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
IDR Entity Certification and IDR Entity Monthly Reporting	85	0	19,554	Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
Request of Extension of Time Periods for Extenuating Circumstances	13	3	0	Other
	13	3	0	Other

RCF Summary of Burden:

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	18,338	18,338	0
Annual Time Burden (Hours)	16,211	34,902	-18,691
Annual Cost Burden (Dollars)	380,818	298,979	81,839

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: