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OMB Control No: 0938-1286	ICR Reference No: 202403-0938-011
Status: Received in OIRA	Previous ICR Reference No: 202012-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/25/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	300	0
Time Burden (Hours)	8,500	0
Cost Burden (Dollars)	0	0

Authorizing Statute(s): PL: Pub.L. 111 - 148 1311(c)(1) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
   PL: Pub.L. 111 - 148 1311(g) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
   PL: Pub.L. 111 - 148 1311(e)(3) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1311(c)(1) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1311(g) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1311(e)(3) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)

ICR Summary of Burden

	Total Request	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300	50	250
Annual Time Burden (Hours)	8,500	-2,500	11,000
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: The total issuer hour burden is expected to decrease (from 11,000 hours to 8,500 hours) as a result of reduced Implementation Year obligations. All eligible issuers currently have a quality improvement strategy on file; hence, Implementation Years would primarily apply to new issuers or issuers who have become reporting eligible. Implementation Years may also apply to issuers who opt to implement a new QIS in addition to their existing strategy or to replace a discontinued strategy. The burden for these issuers is absorbed into the estimates for Progress Reporting.

Annual Cost to Federal Government: $514,488

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? No

Agency Contact: Jamaa Hill 301 492-4190