Physician Quality Reporting System (formerly Physician Quality Reporting Initiative)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10276_Supporting_Statement_Part_B_PQRS_2013_-_CLEAN.docx	Supporting Statement B	Uploaded 2012-10-26	Available
Form_83_-_Part_2_Worksheet_PQRS_Registry_2013.docx	Supplementary Document	Uploaded 2012-10-26	Available
P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
M - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_Release_Notes_04252012_v4.1.pdf	Supplementary Document	Uploaded 2012-10-12	Available
L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
K - DRAFT_2013_EHR_DownloadableResourceTable_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
D - DRAFT_2013_EHR_MeasureSpecifications_03_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
C - DRAFT_2013_EHR_MeasureSpecifications_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
M - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_Release_Notes_04252012_v4.1.pdf	Supplementary Document	Uploaded 2012-10-12	Available
L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
K - DRAFT_2013_EHR_DownloadableResourceTable_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
D - DRAFT_2013_EHR_MeasureSpecifications_03_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
C - DRAFT_2013_EHR_MeasureSpecifications_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
M - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_Release_Notes_04252012_v4.1.pdf	Supplementary Document	Uploaded 2012-10-12	Available
L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
K - DRAFT_2013_EHR_DownloadableResourceTable_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Repair queued
D - DRAFT_2013_EHR_MeasureSpecifications_03_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Repair queued
C - DRAFT_2013_EHR_MeasureSpecifications_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
P - 2013_CMS_EHR_QRDA_Body_Error_Edits_04252012.xlsx	Supplementary Document	Uploaded 2012-10-12	Available
M - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_Release_Notes_04252012_v4.1.pdf	Supplementary Document	Uploaded 2012-10-12	Available
L - DRAFT 2013_EHR_DownloadableResourceTable_Other_Resource_Codes_Mar_2012.xlsx	Supplementary Document	Uploaded 2012-10-12	Repair queued
K - DRAFT_2013_EHR_DownloadableResourceTable_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
D - DRAFT_2013_EHR_MeasureSpecifications_03_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
C - DRAFT_2013_EHR_MeasureSpecifications_ReleaseNotes_3_21_2012_v4.0.pdf	Supplementary Document	Uploaded 2012-10-12	Available
CMS-10276_-_Supporting_Statement_part_A_[rev_7-30-2012].docx	Supporting Statement A	Uploaded 2012-10-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201581	PQRS - Claims	Other-N - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_04252012v4.1	Modified
201580	PQRS - GPRO	Other-CMS_EHR_QRDA_Data_Sub_Specs_04252012v4.1	Modified
201579	PQRS EHR	Other-N - DRAFT 2013_CMS_EHR_QRDA_Data_Sub_Specs_04252012v4.1	Modified
201578	PQRS Registry	Other-2013_CMS_EHR_QRDA	Modified

ICR Details

OMB Control No: 0938-1059	ICR Reference No: 201211-0938-004
Status: Historical Inactive	Previous ICR Reference No: 201203-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Physician Quality Reporting System (formerly Physician Quality Reporting Initiative)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 06/26/2013
	Date Received in OIRA: 11/16/2012
Terms of Clearance: Comment filed.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	01/31/2014
Responses	9,340,265	0	9,340,265
Time Burden (Hours)	2,357,318	0	2,357,318
Cost Burden (Dollars)	0	0	0

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Abstract: See attachment, "Abstract - Form 83 part I."

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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
   Statute at Large: 18 Stat. 1848 Name of Statute: null
   PL: Pub.L. 111 - 148 3002 Name of Law: Improvements to the physician quality reporting system.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AR11	Proposed rulemaking	77 FR 44722	07/30/2012

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 44722	07/30/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
PQRS Registry
PQRS EHR
PQRS - GPRO
PQRS - Claims

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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: Miscellaneous Actions

Short Statement: The changes in the estimated burden in this PRA application for CYs 2013 and 2014 from the original submission are due to an increase in the estimate of eligible professionals participating in PQRS in CYs 2013 and 2014. The burden has also decreased as a direct result of a correction in the submission. Previously, the burden had been entered into the system on a year by year basis as compared to an estimated annual burden.

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Annual Cost to Federal Government: $141,000,000

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]? 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? 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: 11/16/2012

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