Crosswalk

Revisions to CMS IPF PRA Package from 2012 to Current Year 2013
Change #

Document

Changes to PRA Package

Reason for the Change

1.

Form 83 – Part 1

Selected different options in check boxes

Modify from “New Collection” based on this
being a follow-on year for an existing program

2.

Form 83 – Part 1

Changed government labor required for program

Now that the program has been initiated, it is
easier to make a realistic estimate of government
labor required

3.

Form 83 – Part 2

Updated burden calculations

There are new measures for reporting that will
change the burden

4.

Form 83 – Part 2

Marked burden as being increased due to OPDIV
discretion

The addition of new measures is based on CMS
discretion for implementing the program

5.

Supporting
Statement A

Removed references to program initiation.

This is no longer a new collection, so previous
language needed updates

6.

Supporting
Statement A

Revised burden calculation

Recalculated burden to represent the new
additions of measures to the program

7.

Vendor
Authorization

Provided disclaimer to screen shots

Functionality has not been added to the system,
so screen shots are mock-ups

8.

DACA

Changed year references

Make form representative of new program year

9.

Notification
Letter

Broadened language regarding measures

Include newly added measures for the program

10.

Reconsideration
Request

Provided disclaimer and updated language

Updated for new reporting year and language
clarification

11.

Notice of
Participation

Provided disclaimer and updated language

Updated for new reporting year and language
clarification

12.

Extraordinary
Circumstance

New Form

New Form

13.

Data Collection

Updated language

Updated for new reporting year and language
clarification

14.

Decline to
Participate

Updated language and created on line form

Updated for new reporting year and language
clarification

15.

Withdrawal Form

New Form

New Form

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