Physician Quality Reporting Initiative

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10276 Physician Quality Reporting Initiative	Form and Instruction	Removed	Available
CMS-10276.Supporting_Statement_Part B for 2010 and 2011.doc	Supporting Statement B	Uploaded 2010-07-29	Available
CMS-10276.Supporting_Statement_Part_A_for 2010 and 2011.doc	Supporting Statement A	Uploaded 2010-07-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194285	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Individual EP (2011)		New
194284	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Individual EP (2010)		New
194283	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program Group Practice Reporting Option (2011)		New
194282	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program Group Practice Reporting Option (2010)		New
194281	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Registry Self-nomination (2010 & 2011)		New
194280	Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program - EHR Self-nomination (2010 & 2011)		New
187959	Physician Quality Reporting Initiative	Form and Instruction	Removed

ICR Details

OMB Control No: 0938-1059	ICR Reference No: 201008-0938-010
Status: Historical Inactive	Previous ICR Reference No: 200902-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Physician Quality Reporting Initiative
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 09/29/2010
	Date Received in OIRA: 08/17/2010
Terms of Clearance: Terms of the previous clearance remain in effect. OMB files this comment in accordance with 5 CFR 1320.11(c). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. In accordance with 5 CFR 1320, the agency should resubmit this ICR at the final rule stage.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The quality measures data collected from eligible professionals and/or registries who submit PQRI quality measures results and numerator and denominator data on behalf of eligible professionals in 2009 and the e-prescribing quality measure data collected from eligible professionals will be used by CMS to: (1) determine whether an eligible professional meets the criteria for satisfactory reporting of quality measures data for the 2009 PQRI and/or the criteria for successful electronic prescribers for the 2009 E-Prescribing Incentive Program, (2) to calculate and make incentive payments in 2010 to eligible professionals who meet the criteria for satisfactory reporting of quality measures data and/or eligible professionals who are successful electronic prescribers, and (3) publicly post the names of eligible professionals who satisfactorily report PQRI quality measures data and/or who are successful electronic prescribers on the CMS Web site.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 101 Name of Law: Tax Relief and Health Care Act of 2006 - Medicare Improvements and Extension Act of 2006
   US Code: 42 USC 1395w-4 Name of Law: Payment for Physician' Services
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AP79	Proposed rulemaking	75 FR 40040	07/13/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Individual EP (2011)
Physician Quality Reporting Initiative	CMS-10276	2008 PQRI Measure Specifications
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program - EHR Self-nomination (2010 & 2011)
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Registry Self-nomination (2010 & 2011)
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program Group Practice Reporting Option (2010)
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) Incentive Program Group Practice Reporting Option (2011)
Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Incentive Program - Individual EP (2010)

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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: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: We are revising the collection to include the burden for both 2010 and 2011.

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Annual Cost to Federal Government: $625,000,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 08/17/2010

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