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OMB Control No: 0938-1175	ICR Reference No: 202604-0938-026
Status: Received in OIRA	Previous ICR Reference No: 202508-0938-022
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/13/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2029
Responses	11	11
Time Burden (Hours)	17	2
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	11	11	0
Annual Time Burden (Hours)	17	2	15
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We previously requested and received approval for total annual burden estimates under this OMB control number for the FY 2029 program year of 2 hours at a cost of $111 as a result of policies finalized in the FY 2026 IPPS/LTCH PPS final rule. Accounting for updated wage rates, the total cost of $111 decreases to $110. For the FY 2030 program year, based on the policies in the FY 2027 IPPS/LTCH PPS proposed rule, we estimate a total burden of 17 hours at a cost of $936 (an increase of 15 hours and $826 from our estimate in the FY 2026 IPPS/LTCH PPS final rule) under OMB 0938-1175.

Annual Cost to Federal Government: $10,229,431

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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