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OMB Control No: 0938-1067	ICR Reference No: 202604-0938-016
Status: Received in OIRA	Previous ICR Reference No: 202508-0938-020
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Hospice Conditions of Participation (CMS-10277)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/01/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2029
Responses	9,559,095	9,209,893
Time Burden (Hours)	4,095,725	4,032,329
Cost Burden (Dollars)	0	0

Authorizing Statute(s): US Code: 42 USC 1395x Name of Law: Hospice Care; Hospice Program
   PL: Pub.L. 105 - 33 Title IV, Chapter 4 Name of Law: BBA of 1997
   PL: Pub.L. 97 - 248 122 Name of Law: Tax Equity & Fiscal Responsibility Act
   PL: Pub.L. 108 - 173 946 Name of Law: Medicare Prescription Drug, Improvement, & Modernization Act of 2003
   PL: Pub.L. 101 - 239 6005(b) Name of Law: Omnibus Reconciliation Act of 1989

Citations for New Statutory Requirements: US Code: 42 USC 418.24(b) Name of Law: Election of hospice care
US Code: 42 USC 418.24(c) Name of Law: Election of hospice care

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	9,559,095	9,209,893	349,202
Annual Time Burden (Hours)	4,095,725	4,032,329	63,396
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: No

Burden Reduction Due to:

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 4,095,725 hours and the annual burden costs are $354,496,106. The annual burden hours to industry increased 1.6% from 4,032,329 to 4,095,725. The reasons for the change in annual burden hours are due to the following: The overall number of applicable hospice elections per year continues to increase. The prior version estimated 1,168,048 applicable hospice elections per year while current estimates expect 1,517,250 applicable hospice elections per year. The current number of applicable hospices is 6,732 while the prior reinstatement documented that 6,414 applicable hospices were providing Medicare hospice services. The hospice facilities, the number of hospice patients, and the number of responses per hospice subject to the payment regulation changes have increased, thereby increasing burden hours across the industry.

Annual Cost to Federal Government: $13,254,308

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]? 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: Denise King 410 786-1013 Denise.King@cms.hhs.gov

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