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Federal Register / Vol. 86, No. 177 / Thursday, September 16, 2021 / Proposed Rules information to HHS and seek comment as to the number of plans that may choose to do so.
Issuers, FEHB carriers, and TPAs and any self-insured plans that choose not to use a TPA or third-party entity to make the appropriate IT and system changes would incur burdens to make IT
changes to collect, consolidate, and report the required information, in the required format, to HHS. The Departments and OPM assume this onetime cost would be incurred in 2022.
The Departments and OPM estimate that 473 issuers, 46 FEHB carriers, and 205
TPAs would be subject to the requirements in these proposed rules.
The Departments and OPM estimate that for each issuer, FEHB carrier, or TPA to make the appropriate IT changes and submit the required data, it would take a computer and systems information manager 8 hours at an hourly rate of $155.52 to design and direct the work required for the updates, and a computer programmer 40 hours at an hourly rate of $91.96 to collaborate with the manager to design and implement system changes. The Departments and OPM estimate each issuer, FEHB carrier, or TPA would incur a one-time burden of 48 hours, with an equivalent cost of $4,923. For all issuers, FEHB carriers, and TPAs to
meet the proposed reporting requirements, the Departments and OPM estimate a total one-time burden of 34,752 hours, with an equivalent cost of $3,563,933, to be incurred in 2022.
Once the process for collecting and formatting the required data is established, the Departments and OPM
assume that the resources needed to submit the required information for the 2022 and 2023 plan years to be submitted by March 31, 2023 and March 30, 2024, respectively would be limited. The Departments estimate that each issuer, FEHB carrier, or TPA would require a computer and systems information manager 4 hours at an hourly rate of $155.52 to oversee the compilation of the data, a computer programmer 4 hours at an hourly rate of $91.96 to extract the required data and provide it in the required reporting format, and an administrative secretary 4 hours at an hourly rate of $38.86 to assemble the documents and submit them to HHS. The Departments and OPM estimate that each issuer, FEHB
carrier, or TPA would incur an annual burden of 12 hours, with an equivalent cost of $1,145. For all issuers, FEHB
carriers, and TPAs, the Departments and OPM estimate an annual burden of 8,688 hours, with an equivalent cost of
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approximately $829,241, to be incurred in 2023 and 2024.
The total annual burden for all issuers, FEHB carriers, and TPAs to make the appropriate IT and system changes would be approximately 34,752
hours, at a total cost of approximately $3,563,933 to be incurred in 2022.
Issuers, FEHB carriers, and TPAs would also incur an annual burden, in 2023
and 2024, of 8,688 hours and a total cost of approximately $829,241 to submit the data to HHS. The total annual burden for all respondents is likely overestimated because the estimate does not reflect process efficiencies for FEHB
carriers that are also issuers. As HHS, DOL, the Department of the Treasury, and OPM share jurisdiction, HHS will account for 45 percent of the burden, or approximately 15,638 hours in 2022
with an equivalent cost of $1,603,770
and an annual burden of approximately 3,910 hours in 2023 and 2024, with an equivalent cost of $373,158. CMS is seeking an OMB control number and approval for the proposed information collection OMB control number: 0938
NEW Reporting Requirements Regarding Air Ambulance Services CMS10785. DOL, the Department of the Treasury, and OPM will submit their burden estimates upon approval.

TABLE 5PROPOSED ONE-TIME AND ANNUAL BURDEN AND COSTS FOR ISSUERS AND TPAS RELATED TO AIR
AMBULANCE DATA REPORTING REQUIREMENTS
Estimated number of respondents
Year
Estimated number of responses
Burden per response hours
Total estimated annual burden hours
Total estimated labor cost $

2022
2023
2024

326
326
326

326
326
326

48
12
12

15,638
3,910
3,910

$1,603,770.05
373,158.29
373,158.29

Three-year average

326

326

24

7,819

783,362

E. ICRs Regarding Air Ambulance Reporting Requirements for Providers of Air Ambulance Services 45 CFR
149.460
As described in section II.F of the preamble, section 106a of the No Surprises Act requires providers of air ambulance services to submit cost and organizational data as well as other transport-level data related to air ambulance services. In 45 CFR
149.460a of these proposed rules, HHS
sets forth the proposed time and manner of reporting, and in 45 CFR 149.460b, HHS lists the data elements HHS
proposes to collect on air ambulance services from providers of air ambulance services. HHS estimates the
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burden associated with the data reporting required at 45 CFR 149.460 to be the time and effort necessary for providers of air ambulance services to submit the required data elements, in the required format, to HHS.
HHS anticipates a one-time cost for providers of air ambulance services to make IT changes to collect, consolidate, and report the required information, in the required format, to HHS. This onetime cost would be incurred in 2022.
HHS estimates that 75 providers of air ambulance services 42 would be subject to the requirements in these proposed 42 Fact SheetFAA Initiatives to Improve Helicopter Air Ambulance Safety. February 20, 2014. Retrieved from https www.faa.gov/news/
fact_sheets/news_story.cfm?newsId=15794.

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rules. HHS estimates that for each provider to make the appropriate IT
changes and submit the required data, it would require a computer and systems information manager 80 hours at an hourly rate of $155.52 to design and direct the work required for the updates, a computer programmer 240 hours at an hourly rate of $91.96 to collaborate with the manager to design and implement system changes, and a business operations specialist 80 hours at an hourly rate of $81.06 to provide input regarding the data content for the reports. HHS estimates each provider of air ambulance services would incur a one-time burden of 400 hours, with an equivalent cost of $40,997. For all providers of air ambulance services to
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