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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-1158
ICR Reference No:
201504-0938-017
Status:
Historical Active
Previous ICR Reference No:
201309-0938-017
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20520
Title:
Medicare and Medicaid Programs; Electronic Health Record Incentive Program
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/02/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/30/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2018
36 Months From Approved
06/30/2015
Responses
4,495,264
0
4,495,264
Time Burden (Hours)
4,792,112
0
4,792,112
Cost Burden (Dollars)
0
0
0
Abstract:
The Recovery Act expands the use of health information technology (HIT) and certified electronic health records (EHRs) to improve the quality and value of health care. The Recovery Act establishes incentive payments to Medicare, Medicaid, and Medicare Advantage Organization (MAO)-affiliated eligible professionals (EPs) and eligible hospitals and critical access hospitals (CAHs) to promote the adoption and meaningful use (MU) of interoperable HIT and EHRs. These provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the "Health Information Technology for Economic and Clinical Health Act" or "HITECH Act" which authorizes CMS to develop the incentive programs, key to enticing providers to use HIT. All proposed information collection requirements are necessary to implement the HITECH Act. With this submission, we are creating a new PRA package for Medicare and Medicaid eligible professionals (EPs), eligible hospitals and CAHs. The functionality of certified EHR technology facilitates the implementation of meaningful use.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 Title XIII:130001-13424
Name of Law: The American Recovery and Reinvestment Act of 2009
PL:
Pub.L. 111 - 5 Subtitle A - Section 3006
Name of Law: Health Information Technology for Economic and Clinical Health Act
PL:
Pub.L. 111 - 5 4101
Name of Law: Incentives for Eligible Professionals
PL:
Pub.L. 111 - 5 4103
Name of Law: Treatment of payments and savings; impelmentation funding
PL:
Pub.L. 111 - 5 4201
Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
PL:
Pub.L. 111 - 5 4102
Name of Law: Incentives for Hospitals
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 5 Title XIII:130001-13424 Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Subtitle A - Section 3006 Name of Law: Health Information Technology for Economic and Clinical Health Act
PL: Pub.L. 111 - 5 4101 Name of Law: Incentives for Eligible Professionals
PL: Pub.L. 111 - 5 4103 Name of Law: Treatment of payments and savings; impelmentation funding
PL: Pub.L. 111 - 5 4201 Name of Law: Medicaid Provider HIT adoption and operation payemtns; implementation funding
PL: Pub.L. 111 - 5 4102 Name of Law: Incentives for Hospitals
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:
78 FR 34387
06/07/2013
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 24255
04/30/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
49
IC Title
Form No.
Form Name
42 CFR 495.10(a) (b) (hospital) (2011)
42 CFR 495.10(a)-(c) -- (EPs) (2011) average
42 CFR 495.10(d) - (EPs) (2012) average
42 CFR 495.10(d) - (hospital) (2012)
42 CFR 495.10(e)(1) - (EPs) (2011) average
42 CFR 495.10(e)(2) - (EPs) (2012) average
42 CFR 495.202(b)(2) (2012) EPs-final ID
42 CFR 495.202(b)(2) (2012) EPs-preliminary ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-final ID
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-preliminary ID
42 CFR 495.204(b)(2) (2012) Revenue reporting
42 CFR 495.204(b)(4) (2012) EPs-method
42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary
42 CFR 495.210(b) (2012) EPs-attestation
42 CFR 495.306(a)(1)(i)
42 CFR 495.306(a)(1)(ii)(A)
42 CFR 495.306(a)(1)(ii)(B)
42 CFR 495.306(a)(2)
42 CFR 495.316
42 CFR 495.330(a) - average
42 CFR 495.348(c)
42 CFR 495.348(e)
42 CFR 495.348(f)
42 CFR 495.350--average
42 CFR 495.352 -- average
42 CFR 495.366 -- average
42 CFR 495.8 (a)(1)- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (EPs) (2011)
42 CFR 495.8 (a)(1)- Menu Set Objectives/Measures average (EPs) (2011)
42 CFR 495.8 (a)(2)- Ambulatory Quality Measures (EPs) (2012)
42 CFR 495.8 (a)(2)- Menu Set Objectives/ Measures average (EPs) (2012)
42 CFR 495.8 (b)(1)-- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (hospitals/CAHs) (2011)
42 CFR 495.8 (b)(2)- Hospital Quality Measures (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)- Menu Set Objectives/ Measures average (hospitals/CAHs) (2012)
42 CFR 495.8 (b)(2)-- EHR Technology Used & Core Set Objectives/Measures (hospitals/CAHs) (2012)
42 CFR 495.8(a)(2) - EHR Technology Used & Core Set Objectives/Measures (EPs) (2012)
42 CFR 495.8(b)(1) - Menu Set Objectives/ Measures average (hospitals/CAHs) (2011)
495.210 - Attesting on behalf of MA EPs
495.210 - Attesting on behalf of MA-affiliated hospitals
495.210 - Gather information for attestation (MA EPs)
495.210 - Gather information for attestation (MA-affiliated hospitals)
495.210 - Total Cost of Attestation for Stage 2 (MA EPs)
495.210 - Total cost of attestation for Stage 2 (MA-affiliated hospitals)
495.342 - Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates
495.6 - EHR Technology Used, Core Set Objectives/Measures (Hospitals/CAHS)
495.6 - Menu Set Objectives/Measures (EPs) average
495.6 - Menu Set Objectives/Measures (Hospitals/CAHs)
495.6 EHR Technology Used, Core Set Objectives/Measures (EPs)
495.8 - CQMs for hospitals/CAHS
495.8 - CQMs for hospitals/CAHs
ICR Summary of Burden
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
4,495,264
4,495,264
0
0
0
0
Annual Time Burden (Hours)
4,792,112
4,792,112
0
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:
Annual Cost to Federal Government:
$21,666,666
Does this IC contain surveys, censuses, or employ statistical methods?
No
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)?
Yes
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
William Parham 4107864669
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
04/30/2015
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