View Information Collection Request (ICR) Package
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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:
0938-0701
ICR Reference No:
200201-0938-009
Status:
Historical Active
Previous ICR Reference No:
199711-0938-002
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Health Plan Employer Data and Information Set (HEDIS ) and Health Outcome Survey (HOS) and Supporting Regulations at CFR 422.152
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/29/2002
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/31/2002
Terms of Clearance:
Approved for use through 9/2003 with the understanding that this clearance covers the HEDIS and HOS without revision from those instruments in place under OMB's clearance in 1997 and the new reporting unit requirements articulated in OPL 131. The next submission for OMB review must include a copy of the HEDIS and HOS instruments. In addition, OMB encourages efforts by CMS to rationalize sampling methodologies and reduce burdens, but such changes should be submitted through the PRA process before implementation in the future. Finally, OMB requests additional explanation of CMS' policy of implementing more than one HOS survey each year. This explanation must be submitted with a burden correction worksheet for further consideration and action by OMB.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2004
01/31/2004
Responses
313,825
0
0
Time Burden (Hours)
186,320
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Centers for Medicare & Medicaid Services (formerly HCFA) collects quality performance measures in order to hold the Medicare managed care industry accountable for the care being delivered, to enable quality improvement, and to provide quality information to Medicare beneficiaries in order to promote an informed choice. It is critical to CMS's mission that we collect and disseminate information that will help beneficiaries choose among health plans, contribute to improve quality of care through identification of improvement opportunities, and assist CMS in carrying out its oversight & purchasing responsibilities.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Health Plan Employer Data and Information Set (HEDIS ) and Health Outcome Survey (HOS) and Supporting Regulations at CFR 422.152
CMS-R-200
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
313,825
0
0
313,825
0
0
Annual Time Burden (Hours)
186,320
0
0
186,320
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
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:
$0
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]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
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:
01/31/2002
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