This collection
has been approved with the understanding that the next iteration of
the package will provide additional information regarding the
nature and need for the collection.
Inventory as of this Action
Requested
Previously Approved
04/30/2018
36 Months From Approved
04/30/2017
7,584
0
7,584
2,822
0
2,822
0
0
0
These regulations contain procedures
for QIOs (formerly known as PROs) to use in reconsideration of
initial determinations. The information requirements contained in
these regulations are on QIOs to provide information to parties
requesting a reconsideration. These parties will use the
information as guidelines for appeal rights in instances where
issues are still in dispute.
US Code:
42
USC 241 Name of Law: Research and investigations generally
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-R-72 Supporting Statement (2016)_07222016.doc
Information Collection Requirements in 42 CFR 473.18, 473.34, 473.36, and 473.42, PRO Reconsiderations and Appeals