Information Collection Request

Administrative Requirements for Section 6071 of the Deficit Reduction Act of 2005 (CMS-10249)

ICR 202107-0938-006 · OMB 0938-1053 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10249 Administrative Requirements for Section 6071 of the DRA Form Modified Missing upstream
CMS-10249 - Supporting Statement A (2021 version 5).docx Supporting Statement A Uploaded 2021-07-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
186838 Administrative Requirements for Section 6071 of the DRA Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 12/31/2021
336 352
2,604 3,168
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Administrative Requirements for Section 6071 of the DRA CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-10249, CMS-64.9i, -64.9pi, -64.10i, and -64.910pi, Semi-Annual Progress Report ,   MFP Financial Reporting Forms ABCD ,   Additional Benchmarks – Addendum to the MFP Semi-Annual Progress Report ,   Quarterly Expenditures ,   MFP_Budget_Workbook ,   Maintenance of Effort (MOE) Form

table that charts list of burden
  Total Request 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 336 352 0 -16 0 0
Annual Time Burden (Hours) 2,604 3,168 0 -564 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No