New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054)

ICR 202112-0938-010

OMB: 0938-0860

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2021-12-15
Supplementary Document
2021-12-15
Supporting Statement A
2021-12-15
ICR Details
0938-0860 202112-0938-010
Received in OIRA 202105-0938-006
HHS/CMS CM-FFS
New Technology Services for Ambulatory Payment Classifications under the Outpatient Prospective Payment System (CMS-10054)
No material or nonsubstantive change to a currently approved collection   No
Regular 12/15/2021
  Requested Previously Approved
07/31/2024 07/31/2024
10 10
160 160
0 0

Information is necessary to determine services eligible for payment in new technology ambulatory payment classifications (APCs) in the outpatient prospective payment system.

Statute at Large: 18 Stat. 1833
  
None

Not associated with rulemaking

  86 FR 12192 03/02/2021
86 FR 26521 05/14/2021
No

  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 10 10 0 0 0 0
Annual Time Burden (Hours) 160 160 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$60,000
No
    No
    No
No
No
No
No
Stephan McKenzie 410 786-1943 [email protected]

  No

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.
12/15/2021


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