Cms-10421

Existing PRA Approval

Activity	Responses Per Year (i.e. number of reviewed claims)	Time per Response (hours)	Total Burden Per Year (hours)	Total Burden Hours Per Year ($)
Recovery Auditor Pre- payment review Demonstration	150,000	0.5	75,000	$     2,524,500.00
PMD Demonstration	325,000	0.5	162,500	$     5,469,750.00
Signature Attestation	4,750	0.25	5,560	$        187,149.60
TOTAL	479,750	n/a	243,060	8,181,400

Justification for a Non-Substantive Change to Existing Paperwork Reduction Act Control

Activity	Responses Per Year (i.e. number of reviewed claims)	Time per Response (hours)	Total Burden Per Year (hours)	Total Burden Hours Per Year ($)
Recovery Auditor Pre- payment review Demonstration	150,000	0.5	75,000	$     2,524,500.00
PMD Demonstration (revised)	96,000	0.5	48,000	$ 1,615,680.00
Expanded PMD Demonstration	225,000	0.5	112,500.00	$ 3,786,750.00
Signature Attestation	4,750	0.25	5,560	$        187,149.60
TOTAL	479,750	n/a	241,060	$ 8,114,080 8,114,080 8,114,080

Delta

Activity	Responses Per Year (i.e. number of reviewed claims)	Time per Response (hours)	Total Burden Per Year (hours)	Total Burden Hours Per Year ($)
Recovery Auditor Pre- payment review Demonstration	0	n/a	0	$     0
PMD Demonstration (revised)	(229,000)	0.5	(114,500)	$ (3,854,070)
Expanded PMD Demonstration	225,000	0.5	112,500.00	$ 3,786,750.00
Signature Attestation	4,750	0.25	5,560	$        187,149.60
TOTAL	479,750	n/a	243,060	8,181,400