View Information Collection Request (ICR) Package
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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:
0938-1175
ICR Reference No:
201305-0938-013
Status:
Historical Inactive
Previous ICR Reference No:
201209-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
19603
Title:
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Comment filed on proposed rule and continue
Conclusion Date:
01/15/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/21/2013
Terms of Clearance:
Comment Filed
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2015
36 Months From Approved
12/31/2015
Responses
27,273
0
27,273
Time Burden (Hours)
68,182
0
68,182
Cost Burden (Dollars)
0
0
0
Abstract:
Section 3005 of the Affordable Care Act authorizes the establishment of a quality reporting program for PPS-exempt cancer hospitals (PCHs). Beginning in FY 2015 and subsequent fiscal years, the quality measures PPS-exempt cancer hospitals are required to collect and submit 19 quality measures to CMS (5 of these were previously reported under this program, and 14 are new). In an effort to minimize burden and maximize efficiency, CMS has leveraged existing systems to collect aggregated and calculated measure rates beginning with FY2014 program year. CMS is proposing to implement some procedural requirements to align with current quality reporting programs. These procedural requirements would involve submitting necessary forms to comply with the PCHQR Program and aligns with current CMS reporting requirements for other quality programs. The aforementioned forms are the Notice of Participation (NOP), Data Accuracy and Completeness Acknowledgement (DACA), Data Collection, Waiver, and QualityNet secure web registration forms.
Authorizing Statute(s):
PL:
Pub.L. 111 - 48 3005
Name of Law: Affordable Care Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AR12
Proposed rulemaking
78 FR 27485
05/10/2013
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
PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program
CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431
Oncology Care Measures Online Data Entry Tool
,
Surgical Care Improvement Online Data Entry Tool
,
Surgical Care Improvement Paper Submission
,
Oncology Care Paper Submission
,
Extroadinary Circumstances/Disaster Extension or Waiver Request Form
,
Extroadinary Circumstance Paper Form
,
Measure Exception Form
,
Notice of Participation Paper Form
,
Data Accuracy and Completeness Agreement
,
Data Accuracy and Completeness Agreement Screen Shot
,
Notice of Participation Screenshot
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is Year 2 data submission to comply with statutory requirement by implementing a quality reporting program for the PPS-exempt cancer hospital (PCH). During the Measures Application Partnership (MAP) assessment of measures for the PCHQR program, several gap areas were identified within this program. This program expansion uses existing quality measures to fill these gaps identified in the MAP assessment, and seeks to improve quality information about the entire patient experience, and care provided.
Annual Cost to Federal Government:
$83,200
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]?
Yes
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:
Denise King 410 786-1013 Denise.King@cms.hhs.gov
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:
05/21/2013
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