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View ICR - OIRA Conclusion

OMB Control No: 0938-0981	ICR Reference No: 201903-0938-006
Status: Historical Active	Previous ICR Reference No: 201807-0938-015
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
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: 05/06/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/19/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved	11/30/2021
Responses	3,108,400	0	3,108,400
Time Burden (Hours)	379,290	0	417,990
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute
Annual Number of Responses	3,108,400	3,108,400	0
Annual Time Burden (Hours)	379,290	417,990	-38,700
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: CMS will remove the three Communication About Pain items (items 12, 13 and 14) from the HCAHPS Survey effective with October 2019 discharges. Removal of these three items from the HCAHPS Survey reduces burden to patients, as shown above in section 12, but has no effect on hospitals, as shown in section 13. The burden hours have decreased from 417,990 to 379,290.

Annual Cost to Federal Government: $3,325,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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