View Information Collection Request (ICR) Package
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View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0938-1109
ICR Reference No:
201603-0938-010
Status:
Historical Active
Previous ICR Reference No:
201508-0938-011
Agency/Subagency:
HHS/CMS
Agency Tracking No:
21225
Title:
Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)
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:
06/27/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/16/2016
Terms of Clearance:
The agency is required to display the OMB Control Number and inform respondents of its legal significance in accordance with 5 CFR 1320.5(b).
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2017
36 Months From Approved
01/31/2017
Responses
2,331,486
0
5,115,060
Time Burden (Hours)
3,056,717
0
6,060,452
Cost Burden (Dollars)
0
0
0
Abstract:
Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 3014
Name of Law: Affordable Care Act
PL:
Pub.L. 109 - 432 109(a)
Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AS42
Final or interim final rulemaking
80 FR 70298
11/13/2015
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
Hospital Outpatiennt Quality Data Program - Data Validation (CY 2017)
Hospital Outpatient Quality Data Program - Administrative (CY 2017)
Hospital Outpatient Quality Data Program - Data Abstraction (CY 2014)
Hospital Outpatient Quality Data Program - Data Abstraction (CY 2015)
Hospital Outpatient Quality Data Program - Data Abstration (CY 2016)
Hospital Outpatient Quality Data Program - Data Validation (CY 2014)
Hospital Outpatient Quality Data Program - Data Validation (CY 2015)
Hospital Outpatient Quality Data Program - Data Validation (CY 2016)
Hospital Outpatient Quality Data Program - Notice of Participation (CY 2014)
CMS-10250, CMS-10250, CMS-10250, CMS-10250
Request for Reconsideration Part 1
,
Request for Reconsideration Part 2
,
Extroadinary Circumstances
,
Notice of Participation
Hospital Outpatient Quality Data Program - Notice of Participation (CY 2015)
CMS-10250
Notice of Participation
Hospital Outpatient Quality Data Program - Notice of Participation Web based (CY 2017)
Hospital Outpatient Quality Data Program -- Data Abstration (CY 2017)
Hospital Outpatient Quality Data Program -Web based OP-31 (CY 2017)
Hospital Outpatient Quality Program - Notice of Participation (CY 2016)
CMS-10250
Notice of Participation
Hospital Outpatient Quality Reporting CY 2016 - CY 2018
CMS-10250, CMS-10250, CMS-10250, CMS-10250
Extroadinary Circumstances Form
,
Notice of Participation Form
,
Validation Review for Reconsideration Request
,
Reconsideration Request 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
2,331,486
5,115,060
0
-2,783,574
0
0
Annual Time Burden (Hours)
3,056,717
6,060,452
0
-3,003,735
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:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The program has increased the number of measures included in its data collection requirements. Therefore, there is a net increase in burden.
Annual Cost to Federal Government:
$11,500,000
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]?
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)?
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:
03/16/2016
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