Public Health Agency/Registry Readiness to Support Meaningful Use (CMS-10499)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10499 Registry	Form and Instruction	New	Repair queued
CMS-10499 Supporting Statement - Part A.doc	Supporting Statement A	Uploaded 2014-10-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213680	Registry	Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201410-0938-017
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Public Health Agency/Registry Readiness to Support Meaningful Use (CMS-10499)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 03/19/2015
	Date Received in OIRA: 12/12/2014
Terms of Clearance:

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 Final Rule "Medicare and Medicaid Programs; Electronic Health Record Incentive Program-Stage 2"(77 FR 53967) mandates that the Centers for Medicare & Medicaid Services shall develop a centralized repository for the readiness of public health agencies and registries to accept electronic information related to the meaningful use objectives which must be met by eligible providers to participate in the EHR incentive program. Such a repository allows the over 500,000 eligible professionals and over 5,000 hospitals to query one source of information rather than each reaching out individually to the hundreds of potential public health agencies and registries in the country who may or may not be ready to accept electronic information from electronic health records. By collecting this information centrally and making it publicly available the considerable burden on eligible providers to obtain this information will be nearly eliminated and the burden on the public health agencies and registries greatly reduced. The respondents to this collection are public health agencies and registries that volunteer to respond. They will provide information that will be made public and contact information for their submissions. The publicly available information includes identification of the meaningful use objective supported, date of availability, transport mechanisms, website or other means of obtaining additional information, and the jurisdictions covered by the respondent. Additional information to manage the collection to be provided includes the name of the public health agency/registry, contact name, address, phone number and email. This information will not be made publicly available.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 4101 Name of Law: HITECH Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 4101 Name of Law: HITECH Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7461	02/07/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 59773	10/03/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Registry	CMS-10499	Repository Email

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $1,963

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? 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: 12/12/2014

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