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OMB Control No: 0938-1289	ICR Reference No: 202607-0938-011
Status: Received in OIRA	Previous ICR Reference No: 202512-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/23/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2029
Responses	513,475	513,475
Time Burden (Hours)	777,594	863,173
Cost Burden (Dollars)	0	0

Abstract: Section 1881(h) of the Social Security Act, as amended by Section 153(h) of the Medicare Improvements for Patients and Providers Act, authorizes the establishment of a quality incentive program for renal dialysis facilities. Beginning in CY 2016, renal dialysis facilities have been required to collect and submit data on quality reporting measures to CMS using Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb); in CY 2018, this was increased to eight quality reporting measures. In CY 2020, we launched the End-Stage Renal Disease Quality Reporting System (EQRS), which contains the functionalities of the three legacy ESRD Systems, including CROWNWeb, in one global application, and aims to provide ongoing support to the ESRD user community to foster accurate and timely monthly data submission. The measures required for reporting under the ESRD Quality Incentive Program are designed to reflect the appropriate level of care and the most important areas of service furnished by renal dialysis facilities. Measure data are intended to be publicly reported.

Authorizing Statute(s): US Code: 42 USC 1395 Name of Law: Social Security Act

Citations for New Statutory Requirements: US Code: 42 USC 1395; section 1881 Name of Law: Social Security Act

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV81	Proposed rulemaking	91 FR 38784	06/26/2026

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
: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network	CMS-10569, CMS-10569	,

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	513,475	513,475	0
Annual Time Burden (Hours)	777,594	863,173	-85,579
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: As discussed above, the ESRD QIP has consistently refined its measure set since the inception of the ESRD QIP in CY 2011. For the CY 2027 ESRD PPS proposed rule, we are proposing to replace the Hypercalcemia reporting measure with the Facility-Level Percentage of Chronic Hyperphosphatemia in Dialysis Patients clinical measure, and to remove the Medication Reconciliation reporting measure beginning with PY 2029. Due to these proposed changes to the ESRD QIP measure set, the number of data elements per patient year would decrease from 121 to 109 data elements. The corresponding reporting burden would decrease from the currently approved estimate of approximately 2.6 million hours to 2.3 million hours in PY 2029 across all dialysis facilities. Averaged out over the three years, the annual burden hours are 777,594.

Annual Cost to Federal Government: $887,843

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. Yes

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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