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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:
0938-0445
ICR Reference No:
202501-0938-005
Status:
Active
Previous ICR Reference No:
202102-0938-003
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations (CMS-R-71)
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/08/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/15/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2028
36 Months From Approved
07/31/2025
Responses
994,014
0
972,478
Time Burden (Hours)
1,091,597
0
1,034,655
Cost Burden (Dollars)
0
0
0
Abstract:
The Peer Review Improvement Act of 1982 amended Title XI of the Social Security Act to create the Utilization and Quality Control Peer Review Organization (PRO) program which replaces the Professional Standards Review Organization (PSRO) program and streamlines peer review activities. The term PRO has been renamed quality Improvement Organization (QIO). This collection describes the review functions to be performed by the QIO. It outlines relationships among QIOs, providers, practitioners, beneficiaries, intermediaries, and carriers.
Authorizing Statute(s):
PL:
Pub.L. 98 - 389 Deficit Reduction Act of 1984
Name of Law: Social Security Act
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 88052
11/06/2024
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 3872
01/15/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
10
IC Title
Form No.
Form Name
QIO Assumption of Responsibilities and Supp Reg. in 42 CFR Sections 431.630
QIO Assumption of Responsibilities and Supp Regs in 42 CFR Sections 476.78 (b)(2)
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 412.44
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 412.46
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.71
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.73(b)(1)
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.73(b)(2)
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.74(b)
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.74(c)
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.78(b)(3)
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
994,014
972,478
0
0
21,536
0
Annual Time Burden (Hours)
1,091,597
1,034,655
0
0
56,942
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:
No
Burden Reduction Due to:
Short Statement:
Considering the 12th SOW level of effort and the number of providers and practitioners involved with the QIO activities, we do not expect a significant change between the 12th and 13th SOW activities. The number of facilities decreased from 6,939 to 6,120. The volume of HWDRG reviews increased from 97,082 to 159,670. The burden hours increased from 1,034,655 to 1,091,597.
Annual Cost to Federal Government:
$37,273
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:
01/15/2025
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