View RCF
- Agency Submission
| 202110-0938-001CF |
|
|
Received in OIRA
|
04/30/2022 |
| HHS/CMS |
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| 1210-0169 |
202110-1210-002 |
| Requirements Related to No Surprise Billing Act, Part II (Independent Dispute Resolution Process) (CMS-10791) |
|
HHS will be using the IDR model notices for health care providers, health facilities and self-pay individuals.
|
| $6,000,000
|
Jamaa Hill 301 492-4190
|
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| IC Title |
Status |
Responses |
Hours |
Dollars |
Document Type |
Form No. |
Form Name |
| |
Total Request |
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 |
0 |
0 |
3,486,717 |
5,367,255 |
0 |
| Annual Time Burden (Hours) |
12,894,074 |
0 |
0 |
1,869,193 |
11,024,881 |
0 |
| Annual Cost Burden (Dollars) |
33,476,812 |
0 |
0 |
31,044,714 |
2,432,098 |
0 |
|
Yes
|
|
Miscellaneous Actions
|
|
No
|
|
|
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This is a new ICR associated with the common form.
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|
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