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OMB Control No: 0938-1325	ICR Reference No: 202602-0938-005
Status: Received in OIRA	Previous ICR Reference No: 202001-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: (CMS-10578) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 02/09/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	180,915	0
Time Burden (Hours)	1,215,158	0
Cost Burden (Dollars)	0	0

Abstract: In response to past terrorist attacks, natural disasters, and the subsequent national need to refine the nation’s strategy to handle emergency situations, there continues to be a coordinated effort across Federal agencies to establish a foundation for development and expansion of emergency preparedness systems. This information collection captures the burden necessary to support the development and implementation of emergency preparedness requirements that will be consistent and enforceable across 17 affected Medicare and Medicaid providers and suppliers. We obtained the data used in this discussion on the number of the various Medicare and Medicaid providers and suppliers from Medicare’s Certification and Survey Provider Enhanced Reporting (CASPER) as of , 2015.June 1, 2016. We have not included data for health care facilities that are not Medicare and/or Medicaid certified. This information collection consists primarily of the review, revision, and/or development of emergency plans, policies and procedures, and training and testing materials to ensure on-going compliance with the requirements contained in the regulation, discussed above.

Authorizing Statute(s): US Code: 42 USC 1396r Name of Law: Social Security Act
   US Code: 42 USC 1395i Name of Law: Social Security Act
   US Code: 42 USC 1395x Name of Law: Social Security Act
   US Code: 42 USC 1396d 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:
	90 FR 26301	06/20/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 5480	02/06/2026
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Conditions of Partcipation: Emergency Preparedness

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	180,915	58,796	122,119
Annual Time Burden (Hours)	1,215,158	-45,316	1,260,474
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: 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 this reinstatement, the total annual burden hours for industry are 1,251,158 hours and the annual burden costs are $401,106,506. See Table 13. The annual burden to industry decreased from 1,260,474 burden hours to 1,251,158 for the following reasons: • Exclusion of LTC facilities • Addition of new facility type, Rural Emergency Hospitals • Differentiation between which CoPs that are ongoing requirements vs. the one-time development at the time a facility is newly certified. • Reduction in frequency of required ongoing training of staff for IC-7 from annual to biennial for all facilities per the 2019 Final Rule. • Reduction in quantity of required testing exercises per year for facilities that provide outpatient services from 2 testing exercises to 1 per year with no change to facilities that provide inpatient services per the 2019 Final Rule.

Annual Cost to Federal Government: $14,212,032

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

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