202112-1210-001CF RCF OMB: 0938-1407
OMB.report
OMB 0938-1407
RCF 202112-1210-001CF
( RCF New )
Array
(
[refNbr] => 202112-1210-001CF
[obm] => 0938-1407
[icr] => 202112-0938-006
[status] => Active
[agency] => DOL/EBSA
[title] => Prescription Drug and Health Care Spending (CMS-10788)
[typeRCF] => RCF New
[oiraAction] => Approved without change
[oiraNOA] => 376341
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] =>
[conclusionDate] => 2021-12-13
[dateReceived] => 2021-12-13
)
Document
View RCF
- OIRA Conclusion
RCF ID: 202112-1210-001CFPrevious RCF ID:
Status:
Active
Expiration Date: 06/30/2022
Agency/Subagency: DOL/EBSAAgency Tracking No:
Host OMB Control No: 0938-1407Host ICR Reference No: 202112-0938-006
Title: Prescription Drug and Health Care Spending (CMS-10788)
Type of RCF: RCF New
OIRA Conclusion Action: Approved without changeConclusion Date:
12/13/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/13/2021
Terms of Clearance:
Description of Agency Usage:
The Departments will use the information received from the reporting requirements to help gain a better understanding of prescription drug and health care spending in the United States.
Annual Cost to Federal Government:
Agency Contact:
James Butikofer 202 693-8434 [email protected]
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Issuers and FEHB Carriers
59
266,167
0
Instruction
PBMs
8
56,390
0
Instruction
TPAs
23
104,243
0
Instruction
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
90
0
90
0
0
0
Annual Time Burden (Hours)
426,800
0
426,800
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement: