Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1022 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10210 Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures) Form
CMS-10210 Cart Summary cartsumm.doc Form
CMS-10210 Oryx praoryx.doc Form
CMS-10210 Qnet praqnet.doc Form
CMS-10210 HIPAA Compliance HIPAA Compliance - SDPS_QualityNet 091806.doc Form
CMS-10210 Notice of Participation CMS-10210.Draft Notice of Participation.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10210	Cart Summary	cartsumm.doc	Yes	No	Fillable Fileable
Form	CMS-10210	Oryx	praoryx.doc	Yes	Yes	Fillable Fileable
Form	CMS-10210	Qnet	praqnet.doc	Yes	Yes	Fillable Fileable
Form	CMS-10210	HIPAA Compliance	HIPAA Compliance - SDPS_QualityNet 091806.doc	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-10210	Notice of Participation	CMS-10210.Draft Notice of Participation.doc	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	599,992	0	599,992
Annual IC Time Burden (Hours)	600,000	150,006	449,994
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.