Crosswalk

Change crosswalk.xlsx

Data Use Agreement (DUA) Form (CMS-R-235)

Crosswalk

OMB: 0938-0734

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Change Detailed Information Reason for the change
Edited langauge in the background section Made minor update to the language in the background discussion to clarify and provide additional context. We also provided detailed information on the changes to the collection burden and the causes Make a few technical corrections and clarify language
SSA-Section 1 Replaced the FISMA cite with an updated cite the existing cite is outdated
SSA-Section 3 replaced 99% with all and cited that exploring using digital signture we only receive electronic requests and are exploring the use of digital signature for all non-federal stakeholders
SSA-Section 6 made minor updates to add that there are a number of statutory and regulatory requirements wanted to reflect that there are requirements beyond CMS policies and procedures that dictate the collection
SSA-Section 10 Updated the language to reflect that there is a new system that tracks the disclosure There is a new system, EPPE, that tracks the disclosure
SSA-Section 12 Made changes to the wages and hourly costs. Since this estimates the respondents’ costs, we used the BLS rather than the GS schedule for the wage estimates. We also incuded fringe benefits
SSA-Section 12 In addition, recent experience has shown that the time to complete an LDS DUA has slightly increased. We wanted to reflect the feedback that this was a more accurate estimate
SSA-Section 12 The state DUA form and the Mediciad Agency DUA form have been removed. The state DUA form and the Mediciad Agency DUA form are no longer in use so they have been removed.
SSA-Section 14 the government hourly wage was increased to include fringe benefits this is consistent with approach used in other PRA packages
Signature Addendum form There were slight modifications to the signature addendum form Reflects feedback from users
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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