Burden Hour Justification Formula

PRF Reporting Activities - 2 Burden Hour Justification Formula.docx

COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities

Burden Hour Justification Formula

OMB: 0906-0068

Document [docx]
Download: docx | pdf

PRF Reporting Burden Hour Justification Formula – Revision

Updated 9/1/22



Initial Reporting Period

Provider Payments $10K-$100K

(85, 984 Providers) x (3 Hours) = 257,952 Hours

Provider Payments $100K-$500K

(25,730 Providers) x (8 Hours) = 205,840 Hours

Provider Payments over $500K,

(15,117 Providers) x (16 Hours) = 241,872 Hours


Total Number of Providers 126,831; Total Burden Hours = 705,664

Average Burden Hours for Reporting Period 1 =

(Total Burden Hours = 705,664) ÷ (Total # of Providers 126,831) = 5.56 Average Burden Hours per Response (Period 1)



2nd Reporting Period*

*Burden hour is reduced by 1 hour to account for system familiarity and auto-populated values of previously reported data.

Provider Payments $10K-$100K

(90,157 Providers) x (3 Hours) = (270,471 Hours)) - (Providers who would have reported before 28,820 x 1 hour) = 241,651 Hours


Provider Payments $100K-$500K

((25,053 Providers) x (8 Hours) = (200,424 Hours)) - (Providers who would have reported before 15,085 x 1 hour) = 185,339 Hours


Provider Payments over $500K,

((5,326 Providers) x (16 Hours) = (85,216 Hours)) - (Providers who would have reported before 3,721 x 1 hour) = 81,495 Hours


Total Number of Providers 120,536; Total Burden Hours = 508,485

Average Burden Hours for Reporting Period 2 =

(Total Burden Hours = 508,485) ÷ (Total # of Providers120,536) = 4.22 Average Burden Hours per Response (Period 2)



3rd Reporting Period*

*Burden hour is reduced by 1 hour to account for system familiarity and auto-populated values of previously reported data.

Provider Payments $10K-$100K

((8,449 Providers) x (3 Hours) = (25,347Hours)) - (Providers who would have reported before 4,966 x 1 hour) = 20,381 Hours


Provider Payments $100K-$500K

((10,121 Providers) x (8 Hours) = (80,698 Hours)) - (Providers who would have reported before 5,233 x 1 hour) = 75,735 Hours

Provider Payments over $500K,

((1,923 Providers) x (16 Hours) = (30,768 Hours)) - (Providers who would have reported before 1,319 x 1 hour) = 29,449 Hours


Total Number of Providers 20,493; Total Burden Hours = 125,565

Average Burden Hours for Reporting Period 3 =

(Total Burden Hours = 125,565) ÷ (Total # of Providers 20,493) = 6.1 Average Burden Hours per Response (Period 3)



4th Reporting Period*

*Burden hour is reduced by 1 hour to account for system familiarity and auto-populated values of previously reported data.

Provider Payments $10K-$100K

((19,403 PRF Providers) x (3 Hours) = (58,208 Hours) + (14,783 ARP Providers) x (4 Hours) = 59,132 Hours) = 117,341


117,341 - (Providers who would have reported before 5,810 x 1 hour) = 103,022 Hours


Provider Payments $100K-$500K

((4,508 PRF Providers) x (8 Hours) = (36,064 Hours) + (7,677 ARP Providers) x (9 Hours) = 69,093 Hours) = 105,157


105,157 - (Providers who would have reported before 8,468 x 1 hour) = 96,689 Hours


Provider Payments over $500K

((1,080 PRF Providers) x (16 Hours) = (17,280 Hours) + (4,171 ARP Providers) x (18 Hours) = 75,078 Hours) = 92,358


92,358 - (Providers who would have reported before 4555 x 1 hour) = 87,803 Hours


Average Burden Hours for Reporting Period 4 =

(Total Burden Hours = 287,514) ÷ (Total # of Providers 51,622) = 5.6 Average Burden Hours per Response (Period 4)



5th Reporting Period*

*Burden hour is reduced by 1 hour to account for system familiarity and auto-populated values of previously reported data.

Provider Payments $10K-$100K

((2,265 PRF Providers) x (3 Hours) = (6,795 Hours) + (157 ARP Providers) x (4 Hours) = 628 Hours) = 7,423


7,423 - (Providers who would have reported before 1,377 x 1 hour) = 6,046 Hours



Provider Payments $100K-$500K

((1,173 PRF Providers) x (8 Hours) = (9,384 Hours) + (292 ARP Providers) x (9 Hours) = 2,628 Hours) = 12,012


12,012 - (Providers who would have reported before 736 x 1 hour) = 11,276 Hours


Provider Payments over $500K,

((234 PRF Providers) x (16 Hours) = (3,744 Hours) + (135 ARP Providers) x (18 Hours) = 2,430 Hours) = 6,174


6,174 - (Providers who would have reported before 208 x 1 hour) = 5,966 Hours



Total Number of Providers 4,256; Total Burden Hours = 23,288

Average Burden Hours for Reporting Period 5 =

(Total Burden Hours = 23,288) ÷ (Total # of Providers 4,256) = 5.5 Average Burden Hours per Response (Period 5)



6th Reporting Period*

*Considering only preliminary payment data is available, the data does not include the breakdown of payment size or providers who have reported before, the burden hour estimated for this reporting period is based on the average burden hours for reporting periods 1-5.

5.4 Average Burden Hours per Response (Period 6)



7th Reporting Period*

*Considering only preliminary payment data is available, the data does not include the breakdown of payment size or providers who have reported before, the burden hour estimated for this reporting period is based on the average burden hours for reporting periods 1-5.

5.4 Average Burden Hours per Response (Period 7)



Estimated Annualized Burden Costs


Provider Payments $10K-$100K (Administrative Assistant)

Reporting Period 1 – 257,952 Hours

Reporting Period 2 – 241,651 Hours*

Reporting Period 3 – 20,381 Hours*

Reporting Period 4 – 103,022 Hours*

Reporting Period 5 – 6,046 Hours*


Total 629,052 Hours



Provider Payments $100K-$500+K (Accountant)

Reporting Period 1 – 447,712 Hours*

Reporting Period 2 – 266,834 Hours*

Reporting Period 3 – 93,529 Hours*

Reporting Period 4 – 124,550 Hours*

Reporting Period 5 – 7,423 Hours*


Total 1,021,464 Hours






*Burden hour is reduced by 1 hour to account for system familiarity and auto-populated values of previously reported data.


6th Reporting Period*

*Considering only preliminary payment data is available, the data does not include the breakdown of payment size or providers who have reported before, the burden hour estimated for this reporting period is based on the average burden hours for reporting periods 1-5.


7th Reporting Period*

*Considering only preliminary payment data is available, the data does not include the breakdown of payment size or providers who have reported before, the burden hour estimated for this reporting period is based on the average burden hours for reporting periods 1-5.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorVieira, Daniel (HRSA)
File Modified0000-00-00
File Created2023-08-22

© 2024 OMB.report | Privacy Policy