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:
0938-1043
ICR Reference No:
202410-0938-012
Status:
Active
Previous ICR Reference No:
202011-0938-005
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Conditions of Participation for Critical Access Hospitals and Supporting Regulations (CMS-10239)
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
11/16/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/16/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2027
36 Months From Approved
Responses
79,589
0
0
Time Burden (Hours)
877,522
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
This is a reinstatement of the information collection request that expired on March 31, 2024. The previous iteration of this OMB No. 0938-1043 (approved March 25, 2021) had a burden of 33,905 annual hours. For this requested reinstatement, with changes, the total annual burden hours for industry is 894,922 hours and the annual burden costs are $73,650,118. The increase in burden hours from the prior package is primarily due to new information collections associated with new CoPs for CAHs outlined in the two CMS rules referenced below. The new CoPs include multiple information collection requirements that are one-time burdens for developing new policies and protocols and ongoing reporting requirements, such as daily or biweekly reporting of respiratory illnesses as well as maternal deaths. The reasons for the increased information collections are discussed in more detail in the rules and are summarized later in this package.
Authorizing Statute(s):
US Code:
42 USC 1395x(e) and (mm)
Name of Law: Part E - Miscellaneous Provisions
US Code:
42 USC 1395(a)(8)
Name of Law: Conditions of and Limitations on Payment for Services
US Code:
42 USC 1320b-8
Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
US Code:
42 USC 1302
Name of Law: Rules and Regulations
US Code:
42 USC 1395i-4(a-f)
Name of Law: Medicare Rural Hospital Flexibility Program
US Code:
42 USC 1395hh
Name of Law: Regulations
US Code:
42 USC 1395aa
Name of Law: Use of State Agencies to determine compliance by providers of services with CoPs
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 65914
08/13/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 83015
10/15/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
42 CFR 485.640(d)(1)
42 CFR 485.640(d)(2)
42 CFR 485.641(d)(4)
42 CFR 485.641(d)(4)
42 CFR 485.641(d)(4)(ii)
42 CFR 485.649(a)(2)
42 CFR 485.649(b)(2)
42 CFR 485.649(c)
42CFR485.616(c)(40)(iv)
42CFR485.618 (e)(1)
42CFR485.623(d)(4)
42CFR485.631
42CFR485.635(a)
42CFR485.635(c)(3)
42CFR485.635(f)
42CFR485.641
42CFR485.643(a-b)
42CFR485.645(d)
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
79,589
0
0
-39,878
0
119,467
Annual Time Burden (Hours)
877,522
0
0
843,617
0
33,905
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:
This package has been updated to reflect changes in information collection requirements related to new or revised Conditions of Participation for CAHs. For this reinstatement, the total annual burden hours for industry is 894,922 hours and the annual burden costs are $73,650,118. The annual burden to industry increased from 33,905 hours to 894,922 hours. The increase in burden hours from the prior package is primarily due to new information collections associated with new CoPs for CAHs outlined in the two CMS rules referenced below. The new CoPs include multiple information collection requirements that are one-time burdens for developing new policies and protocols and ongoing reporting requirements, such as daily or biweekly reporting of respiratory illnesses as well as maternal deaths.
Annual Cost to Federal Government:
$1,610,346
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]?
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
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:
10/16/2024
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