View RCF - OIRA Conclusion

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: 04/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/11/2022
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	Responses	Hours	Dollars	Document Type
Federal IDR Process for Air Ambulance Services	8,853,969	13,280,954	110,334,822	Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities	1	2	14	Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
IDR Entity Certification and IDR Entity Monthly Reporting	1	0	260	Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
				Other
Request of Extension of Time Periods for Extenuating Circumstances	1	0	0	Other
	1	0	0	Other

RCF Summary of Burden:

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	8,853,972	8,853,972	0
Annual Time Burden (Hours)	13,280,956	12,894,074	386,882
Annual Cost Burden (Dollars)	110,335,096	33,476,812	76,858,284

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:

202204-0938-001CF