Information Collection Request

Information Collection Requirements for the Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)

ICR 200912-0938-005 · OMB 0938-1109 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10250 Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2011) Form and Instruction New Available
Form CMS-10250 Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2010) Form and Instruction New Repair queued
CMS-10250.Supporting Statement Part B-FINAL.doc Supporting Statement B Uploaded 2009-11-25 Available
CMS-10250 REVISED Supporting_Statement_Part_A -9-30-10.doc Supporting Statement A Uploaded 2010-09-30 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2013 36 Months From Approved
1,821,340 0 0
1,802,186 0 0
0 0 0





table that charts list of burden
  Total Approved 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 1,821,340 0 24,800 1,796,540 0 0
Annual Time Burden (Hours) 1,802,186 0 916,026 886,160 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
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