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OMB Control No: 0938-1039	ICR Reference No: 201009-0938-004
Status: Historical Active	Previous ICR Reference No: 200711-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/09/2010
	Date Received in OIRA: 09/20/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	36 Months From Approved	03/31/2011
Responses	712	0	2,000
Time Burden (Hours)	5,530	0	49,170
Cost Burden (Dollars)	0	0	400,000

Abstract: The NHVBP Demonstration is a CMS "pay-for-performance" initiative to improve the quality of care furnished to Medicare beneficiaries residing in nursing homes. Under this three-year demonstration project, CMS will assess the performance of nursing homes based on selected quality measures, and then make payments to those nursing homes that achieve a higher performance based on those measures. Quality will be assessed based on the following four domains: staffing, appropriate hospitalizations, outcome measures from the minimum data set (MDS), and survey deficiencies.

Authorizing Statute(s): US Code: 42 USC 1395b-1(b)
US Code: 42 USC 1395b-1(a)(1)(A)

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 30030	05/28/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 49494	08/13/2010
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	712	2,000	-1,288
Annual Time Burden (Hours)	5,530	49,170	-43,640
Annual Cost Burden (Dollars)	0	400,000	-400,000

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: When CMS submitted the original supporting statement for this data collection, we estimated that there would be 250 participants (submitting 4 responses annual, yielding 1,000 annual responses) and an annual burden of 17,220 hours. We also estimated that there would be 1,000 applicants for the demonstration, at a total burden of 31,950 hours. These estimates were based on a pre-demonstration survey of 9 nursing homes. We have revised the annual burden estimates for this supporting statement. These estimates are substantially lower than our original estimates, for two reasons. First, the actual number of demonstration participants is 178 (submitting 4 responses annually, yielding 712 annual responses). Second, 69 participants reported their actual burden. Based on this information, we estimated an annual burden of 5,530 hours (i.e., an average of 7.75 hours per response for 712 responses). In addition, the initial collection (i.e., the application) has ended. So the burden associated with the initial collection (1,000 responses at 31,950 hours) is no longer included in the current burden estimate.

Annual Cost to Federal Government: $40,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Bonnie Harkless 4107865666

View ICR - OIRA Conclusion