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:
0938-1454
ICR Reference No:
202412-0938-021
Status:
Active
Previous ICR Reference No:
202410-0938-015
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Rural Emergency Hospital Quality Reporting (REHQR) (CMS-10870)
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:
07/28/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/10/2025
Terms of Clearance:
Prior to the re-submission of the information collection (IC), CMS is requirement to revised quality data reporting discussion in the supporting statement A and burden estimate based on any quality measurement changes in the 2026 and 2027 Medicare payment rulemaking cycle.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2026
36 Months From Approved
04/30/2027
Responses
4,356
0
187,992
Time Burden (Hours)
8,579
0
9,101
Cost Burden (Dollars)
0
0
0
Abstract:
The Consolidated Appropriations Act (CAA), 2021, was signed into law in December 2020. In this legislation, Congress established a new Medicare provider type: Rural Emergency Hospitals (REHs). Section 125 of Division CC of the CAA, 2021 added section 1861(kkk) to the Social Security Act (the Act). This section defines an REH as a facility that, in relevant part, was as of December 27, 2020: (1) a Critical Access Hospital (CAH) or a subsection (d) hospital with not more than 50 beds located in a county (or equivalent unit of local government) in a rural area (defined in section 1886(d)(2)(D) of the Act); or (2) was a subsection (d) hospital with not more than 50 beds that was treated as being in a rural area pursuant to section 1886(d)(8)(E) of the Act. Under section 1861(kkk)(7) of the Act, as added by section 125 of Division CC of the CAA, 2021, the Secretary is required to establish quality measurement reporting requirements for REHs, which may include the use of a small number of claims-based measures or patient experience surveys. An REH must submit quality measure data to the Secretary, and the Secretary shall establish procedures to make the data available to the public on a CMS website.
Authorizing Statute(s):
US Code:
42 USC 1395x
Name of Law: Social Security Act
PL:
Pub.L. 116 - 260 125
Name of Law: Consolidated Appropriations Act of 2021
Citations for New Statutory Requirements:
PL: Pub.L. 116 - 260 125 Name of Law: Consolidated Appropriations Act of 2021
US Code: 42 USC 1395x Name of Law: Social Security Act
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV35
Final or interim final rulemaking
89 FR 93912
11/27/2024
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
Rural Emergency Hospital Quality Reporting (REHQR) Program
CMS-10870
Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form
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
4,356
187,992
0
-183,636
0
0
Annual Time Burden (Hours)
8,579
9,101
0
-522
0
0
Annual Cost Burden (Dollars)
0
0
0
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:
Changing Regulations
Short Statement:
The adoption of the HCHE measure results in a total estimated burden increase of six hours at a cost of $332 beginning with the CY 2027 program determination. The adoption of the Screening for SDOH and Screen Positive Rate for SDOH measures results in a total estimated burden increase of 12,984 hours at a cost of $318,163 and six hours at a cost of $332, respectively, when mandatory reporting begins for the CY 2028 program determination. Accounting for the impact of the measure adoptions in the CY 2025 OPPS/ASC final rule, our updated estimate of the number of REHs results in an annual burden decrease of 8,698 hours and $452,026 through the CY 2028 payment determination. From the CY 2027 payment determination through the CY 2028 program determination, due to these measure adoptions and adjustments, the aggregate increase in burden hours is 4,298 hours (-8,698 + 6 + 12,984 + 6) with a decrease of $133,199 (-$452,026 + $332 + $318,163 + $332) as shown in Tables 4 and 5.
Annual Cost to Federal Government:
$10,223,800
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:
Stephan McKenzie 410 786-1943 stephan.mckenzie@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:
01/10/2025
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