View Information Collection Request (ICR) Package
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View ICR - Agency Submission
OMB Control No:
0938-1278
ICR Reference No:
202605-0938-014
Status:
Received in OIRA
Previous ICR Reference No:
202509-0938-006
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552)
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
03/31/2029
Responses
4,550
4,550
Time Burden (Hours)
30,378
30,151
Cost Burden (Dollars)
0
0
Abstract:
Abstract (2000 characters maximum) The American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111-5) was enacted on February 17, 2009, and includes measures to modernize our nation's infrastructure and improve affordable health care. Expanded use of health information technology (HIT) and certified electronic health record (EHR) technology will improve the quality and value of America's health care. Title IV of Division B of the Recovery Act amends Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs), and Medicare Advantage organizations participating in the Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified EHR technology (CEHRT). These Recovery Act provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the “Health Information Technology for Economic and Clinical Health Act” or the “HITECH Act”. In 2019, the EHR Incentives Program for eligible hospitals and CAHs was subsequently renamed the Medicare Promoting Interoperability Program. We are collecting information from participants in this program on objectives and measures focused on the meaningful use of CEHRT in order to incentivize the advanced use of CEHRT to support health information exchange, interoperability, advanced quality measurement, and maximizing clinical effectiveness and efficiency. In the FY 2027 IPPS/LTCH PPS proposed rule, we proposed to remove two attestations which would impact information collection burden: (1) the ONC Direct Review Attestation beginning with the EHR reporting period in CY 2026, and (2) the optional ONC-ACB Surveillance Attestation beginning with the EHR reporting period in CY 2026. We also proposed to adopt the Unique Device Identifiers for Implantable Medical Devices measure beginning with the EHR reporting period in CY 2027. Lastly, we proposed to update the Electronic Prior Authorization measure to make the measure optional for the EHR reporting period in CY 2027 and required beginning with the EHR reporting period in CY 2028.
Authorizing Statute(s):
PL:
Pub.L. 111 - 5 Title IV of Division B
Name of Law: The American Recovery and Reinvestment Act of 2009
PL:
Pub.L. 111 - 5 Title XIII of Division A
Name of Law: The American Recovery and Reinvestment Act of 2009
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV79
Proposed rulemaking
91 FR 19312
04/14/2026
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
§495.24(e) Objectives/Measures (hospitals/CAHs)
cms-10552
Medicare Promoting Interoperability Program Hardship Exception Application
ICR Summary of Burden
Total Request
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
4,550
4,550
0
0
0
0
Annual Time Burden (Hours)
30,378
30,151
0
227
0
0
Annual Cost Burden (Dollars)
0
0
0
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 EHR reporting period in CY 2027 of 30,188 hours at a total cost of $1,671,811 as a result of policies finalized in the FY 2026 IPPS/LTCH PPS final rule. Accounting for updated wage rates, the total cost of $1,671,811 decreases to $1,662,151 (a decrease of $9,660 from our currently approved estimate). For the EHR reporting period in CY 2027, based on the proposed policies in the FY 2027 IPPS/LTCH PPS proposed rule and revised assumptions, we estimate a total burden of 30,378 hours and $1,672,613 (an increase of 190 hours and $10,462 from our estimate in the FY 2026 IPPS/LTCH PPS final rule). This burden estimate represents an increase of 227 hours and $2,906 from the currently approved burden estimate of 30,151 hours and $1,669,707 for the EHR reporting period in CY 2026.
Annual Cost to Federal Government:
$10,588,293
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)?
Yes
Is this ICR related to the Pandemic Response?
No
Agency Contact:
William Parham 4107864669
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:
05/27/2026
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