No Surprises Act: IDR Process

ICR 202110-1210-002

OMB: 1210-0169

Federal Form Document

Forms and Documents
Supporting Statement A
Supplementary Document
ICR Details
1210-0169 202110-1210-002
Active 202108-1210-008
No Surprises Act: IDR Process
New collection (Request for a new OMB Control Number)   Yes
Approved without change 10/07/2021
Retrieve Notice of Action (NOA) 10/07/2021
Approved consistent with the understanding that the agency will review and consider all comments received from the rule in addition to those received during the 60 and 30 FRN periods as this package transitions from an emergency to a standard collection
  Inventory as of this Action Requested Previously Approved
04/30/2022 6 Months From Approved
18,338 0 0
32,974 0 0
99,300 0 0

Before January 1, 2022, the Department needs to certify the IDR entities, so the IDR process is available on January 1, 2022 and the regulated community needs to prepare for the January 1, 2022 applicability date. If normal clearance procedures are followed, this statutory deadline may be missed and the IDR process and other regulatory provisions will not be available with its accompany protections.

PL: Pub.L. 116 - 260 103 and 105 Name of Law: Consolidated Appropriations Act, 2021
PL: Pub.L. 105 - 105 No Surprises Act Name of Law: Consolidated Appropriations Act, 2021

1210-AC00 Final or interim final rulemaking 86 FR 55980 10/07/2021


  Total Approved 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 18,338 0 18,338 0 0 0
Annual Time Burden (Hours) 32,974 0 32,974 0 0 0
Annual Cost Burden (Dollars) 99,300 0 99,300 0 0 0
This is a new information collection.

James Butikofer 202 693-8434 [email protected]

  The Departments of Health and Human Services (HHS) and Treasury will be using the common forms, as well as the Office of Personnel Management (OPM) as the agencies share jurisdiction over provisions of the No Surprises Act.
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title

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.

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