View RCF  - Agency Submission

202110-0938-001CF
Received in OIRA 04/30/2022
HHS/CMS
1210-0169 202110-1210-002
Requirements Related to No Surprise Billing Act, Part II (Independent Dispute Resolution Process) (CMS-10791)
RCF New
HHS will be using the IDR model notices for health care providers, health facilities and self-pay individuals.
PL: Pub.L. 116 - 260 103 and 105 Name of Law: Consolidated Appropriations Act, 2021
 $6,000,000
Jamaa Hill 301 492-4190

IC Title Status Responses Hours Dollars Document Type Form No. Form Name

  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 8,853,972 0 0 3,486,717 5,367,255 0
Annual Time Burden (Hours) 12,894,074 0 0 1,869,193 11,024,881 0
Annual Cost Burden (Dollars) 33,476,812 0 0 31,044,714 2,432,098 0

Yes
Miscellaneous Actions
No
This is a new ICR associated with the common form.