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:
201812-0938-018
Status:
Historical Active
Previous ICR Reference No:
201805-0938-008
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/29/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/28/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2022
36 Months From Approved
09/30/2019
Responses
108,500
0
325,501
Time Burden (Hours)
75,782
0
158,887
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). This is an update to the previously approved PCHQR Program PRA submission. We are proposing to add one (1) new quality measure into, and remove six (6) existing quality measures from the PCHQR Program in the FY 2019 IPPS/LTCH PPS Proposed Rule.
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-AT30
Final or interim final rulemaking
83 FR 58818
11/21/2018
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 20164
05/07/2018
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 58818
11/21/2018
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
Oncology Care Measures Paper Submission
,
EBRT Pop Sample Application
,
EBRT Paper based
,
Oncology Care Measures Pop Sample application
,
Measure Exception Form
,
Oncology Cares Measures Paper Submission
,
Data Accuracy and Completeness Form
,
Notice of Participation
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
108,500
325,501
0
-217,001
0
0
Annual Time Burden (Hours)
75,782
158,887
0
-83,105
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
We are reducing a previously approved burden. We are removing four (4) web-based structural measures from the PCHQR Program, which will reduce the information collection burden on the PCHs. We are also accounting for the additional removal of the administrative burden imparted by the inclusion of the additional NHSN measures (CAUTI, CLABSI, SSI, CDI, MRSA, and HCP) under OMB control number 0938-1175. The change in the burden associated with these finalized policies is a reduction of approximately 83,105 hours ([1 fewer hour per year per PCH for the removal of the web-based structural measures + 7,554 fewer hours per year per PCH for the removal of NHSN measure administrative burden] x 11 PCHs) across all 11 PCHs annually, and approximately $3,039,981 (83,105 hours per PCH x $36.58 wage) annually across all 11 PCHs.
Annual Cost to Federal Government:
$20,800
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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:
01/28/2019