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OMB Control No: 0938-1022	ICR Reference No: 202604-0938-027
Status: Received in OIRA	Previous ICR Reference No: 202508-0938-019
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/27/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2028
Responses	18,200	18,000
Time Burden (Hours)	1,354,664	1,351,632
Cost Burden (Dollars)	0	0

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

IC Title	Form No.	Form Name
Quality Measures and Procedures for Hospital Reporting of Quality Data	CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210, CMS-10210	, , , , , , , , , , , , , ,

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	18,200	18,000	200
Annual Time Burden (Hours)	1,354,664	1,351,632	3,032
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: For the CY 2027 reporting period/FY 2029 payment determination, based on the proposed policies in the FY 2027 IPPS/LTCH PPS proposed rule, we estimate a total burden of 1,354,664 hours and $73,424,664 (a decrease of 1 hour due to rounding from our estimate in the FY 2026 IPPS/LTCH PPS final rule). This burden estimate represents an increase of 3,032 hours and $242,435 from the currently approved burden estimate of 1,351,632 hours and $73,667,099 for the CY 2026 reporting period/FY 2028 payment determination.

Annual Cost to Federal Government: $538,293

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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