Information Collection Request

Rate Increase Disclosure and Review Reporting Requirements (45 CFR Part 154)

ICR 201110-0938-005 · OMB 0938-1141 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10379 Emergency Justification Memo Rate Review (10-28-11).doc Supplementary Document Uploaded 2011-10-31 Available
CMS-10379_Supporting_Statement_Part_A.pdf Supporting Statement A Uploaded 2011-10-12 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2012 6 Months From Approved 08/31/2014
3,901 0 3,435
91,219 0 86,656
0 0 0





table that charts list 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 3,901 3,435 0 466 0 0
Annual Time Burden (Hours) 91,219 86,656 0 4,563 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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