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View ICR - OIRA Conclusion

OMB Control No: 0938-1340	ICR Reference No: 202103-0938-012
Status: Historical Active	Previous ICR Reference No: 202007-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: National Healthcare Safety Network (NHSN) Data Validation Study for the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) (CMS-10639)
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: 04/01/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/10/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2024	36 Months From Approved	01/31/2023
Responses	6,000	0	12,000
Time Burden (Hours)	1,500	0	3,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	6,000	12,000	-6,000
Annual Time Burden (Hours)	1,500	3,000	-1,500
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The currently approved PRA associated with the PY 2022 study estimates a total burden of 3,000 hours at a cost of $126,960 for 300 facilities to submit a total of 40 records per year. The changes in burden finalized in this PRA are due to a decrease in NHSN data validation study reporting requirements from 40 records per year to 20 records per year. The burden also changes because the formula is now calculated using the median hourly wage rate, as opposed to the mean hourly wage rate. We made this change to be consistent with other CMS quality reporting and payment programs, which use the median wage rate in their estimates. The annual burden associated with the PY 2023 study is 1,500 hours at a cost of $61,500. This is a decrease of 1,500 hours and $65,460 from the currently approved burden estimate.

Annual Cost to Federal Government: $188,271

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. Yes

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? No

Agency Contact: Denise King 410 786-1013 Denise.King@cms.hhs.gov