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OMB Control No: 0938-1109	ICR Reference No: 202608-0938-017
Status: Received in OIRA	Previous ICR Reference No: 202601-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/26/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2029
Responses	163,822,866	43,186,451
Time Burden (Hours)	13,873,401	9,882,621
Cost Burden (Dollars)	0	0

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

IC Title	Form No.	Form Name
Hospital Outpatient Quality Reporting	CMS-10250.OQR_Withdraw Form, CMS-10250, CMS-10250, CMS-10250, CMS-10250	, , , ,

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	163,822,866	43,186,451	120,636,415
Annual Time Burden (Hours)	13,873,401	9,882,621	3,990,780
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/CY 2029 payment determination, based on the proposed measure removals and updates to validation requirements and revised assumptions in the CY 2027 OPPS/ASC proposed rule, CMS estimates a increase in hourly burden.

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

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov

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