View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Inpatient Psychiatric Facility Quality Reporting Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10432 Yes Yes Fillable Fileable
Form and Instruction CMS-10432 Yes Yes Fillable Fileable
Form and Instruction CMS-10432 Yes Yes Fillable Fileable

Health Health Care Services

Medicare Beneficiary Database (09-70-0536)  71 FR 70396

1,564 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8,952,336 0 -1,868,544 0 0 10,820,880
Annual IC Time Burden (Hours) 2,179,121 0 -465,930 0 0 2,645,051
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Track Chage - Data Accuracy and Completeness Acknowledgement (DACA) 05/18/2026
Track Change - IPFQR Data Entry Screen Shots 05/18/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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