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:
0938-1109
ICR Reference No:
202410-0938-014
Status:
Historical Inactive
Previous ICR Reference No:
202401-0938-006
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Comment filed on proposed rule and continue
Conclusion Date:
12/13/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/10/2024
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2026
36 Months From Approved
11/30/2026
Responses
968,150
0
968,150
Time Burden (Hours)
276,148
0
276,148
Cost Burden (Dollars)
0
0
0
Abstract:
Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Social Security Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Social Security Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Social Security Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.
Authorizing Statute(s):
PL:
Pub.L. 109 - 432 109(a)
Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services
PL:
Pub.L. 111 - 148 3014
Name of Law: Affordable Care Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV35
Proposed rulemaking
89 FR 59437
07/22/2024
Federal Register Notices & Comments
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
Hospital Outpatient Quality Reporting
CMS-10250.OQR_Withdraw Form, CMS-10250, CMS-10250, CMS-10250
Web Based Data Collection Tool
,
CMS-10250.OQR_Withdraw Form
,
CMS-10250.HOQR ProgramValidationReconForm
,
CMS.10250.Extraordinary Circumstances Exemption Request Form
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
For the CY 2025 reporting period/CY 2027 payment determination, based on the policy proposals in the CY 2025 OPPS/ASC proposed rule, we estimate a total burden of 16,855,645 hours at a cost of $420,225,865 (an increase of 16,576,356 and $406,169,218 from our estimate in the CY 2024 OPPS/ASC final rule). This burden estimate also represents an increase of 16,593,108 and $406,542,452 from the currently approved burden estimate of 262,537 hours and $13,683,413 for the CY 2024 reporting period/CY 2026 payment determination. The proposed adoption of the HCHE measure would result in a total estimated burden increase of 533 hours at a cost of $29,518 beginning with the CY 2027 payment determination. The proposed adoption of the Screening for SDOH and Screen Positive Rate for SDOH measures would result in a total estimated burden increase of 16,462,369 hours at a cost of $403,179,882 and 533 hours at a cost of $29,518, respectively, when mandatory reporting begins for the CY 2028 payment determination. The proposed adoption of the Information Transfer PRO-PM would result in a total estimated burden increase of 49,884,885 hours at a cost of $1,221,697,298 when mandatory reporting begins for the CY 2028 payment determination. Accounting for the impact of the proposals in the CY 2025 OPPS/ASC proposed rule, our updated estimate of the number of HOPDs results in an annual burden decrease of 11,723 hours and $649,408 beginning with the CY 2027 payment determination. The aggregate increase due to these policies and adjustments as reflected in our burden estimates for the CY 2030 payment determination is 66,336,597 hours (-11,723 + 533 + 16,462,369 + 533 + 49,884,885) and $1,624,286,808 (-649,408 + $29,518 + $403,179,882 + $29,518 + $1,221,697,298) as shown in Tables 7 and 8.
Annual Cost to Federal Government:
$10,228,911
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?
No
Agency Contact:
William Parham 410 786-4669 william.parham@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:
10/10/2024
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