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:
201401-0938-010
Status:
Historical Active
Previous ICR Reference No:
201209-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
21324
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:
Approved with change
Conclusion Date:
11/26/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/15/2014
Terms of Clearance:
OMB is approving this information collection request for a period of two years during which time CMS will request approval to extend or revise the collection if the Agency seeks to continue the information collection activity beyond the period approved under this action.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2016
24 Months From Approved
12/31/2015
Responses
413,556
0
27,273
Time Burden (Hours)
206,891
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 2017 and subsequent fiscal years, it is proposed that PCHs will be required to collect and submit 19 quality measures to CMS (18 of these were previously reported under this program, and one is new). Measures are added to the PCH Quality Reporting (PCHQR) Program in order to ensure a measure set that reflects the appropriate level of care and the most important areas of service furnished by PCHs. Measure data are intended to be publicly reported. CMS is also proposing to collect population and sampling data stratified by Medicare and non-Medicare data for the 5 clinical process/oncology care measures.
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-AR53
Final or interim final rulemaking
79 FR 44128
07/29/2014
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 27485
05/10/2013
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 44128
07/29/2014
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, CMS-10431, CMS-10431
Oncology Care Measures Paper Submission
,
SCIP Measures Paper Submission
,
EBRT Pop Sample Application
,
EBRT Paper based
,
EBRT Pop Sample paper based
,
EBRT web application
,
Oncology Care Measures Pop Sample application
,
OCM Pop Sample paper based
,
SCIP Pop Sample paper based
,
SCIP Pop Sample Application
,
Data Accuracy and Completeness Acknowledgement
,
Measure Exception Form
,
Notice of Participation form
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
413,556
27,273
0
386,283
0
0
Annual Time Burden (Hours)
206,891
68,182
0
138,709
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:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This program has increased the number of measures included in its data collection requirements, from 18 quality measures to 19 quality measures, based on policies included in the FY 2015 IPPS/LTCH final rule. However, the overall burden estimate has decreased by 364,433 hours due to the consideration of sampling methodologies which allow PCHs to report fewer than the full population size for the SCIP, OCM, EBRT, and the HCAHPS survey.
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:
01/15/2014
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