Outcome and Assessment Information Set (OASIS-D) (CMS-10545)

Forms and Documents

Document Name	Status
Form CMS-10545 Medicare and Medicaid Programs OASIS Collection Requirement (Training) Form and Instruction	Modified
Form CMS-10545 Medicare and Medicaid OASIS Collection Requirements (Data Collection) Form and Instruction	Modified
CMS-10545 Supporting Statement_OASISD 30 day.docx Supporting Statement A	2018-08-22
CMS-10545 - Comment Reponses 2018.docx Supplementary Document	2018-08-21

IC Document Collections

IC ID	Document Title	Status
215973	Medicare and Medicaid Programs OASIS Collection Requirement (Training) Form and Instruction	Modified
215972	Medicare and Medicaid OASIS Collection Requirements (Data Collection) Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1279	ICR Reference No: 201808-0938-010
Status: Active	Previous ICR Reference No: 201607-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Outcome and Assessment Information Set (OASIS-D) (CMS-10545)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/06/2018
	Date Received in OIRA: 08/23/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2019
Responses	18,174,091	0	17,912,198
Time Burden (Hours)	11,651,290	0	15,812,511
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for OMB PRA approval of a version upgrade of the Outcome and Assessment Information Set (OASIS-C1/ICD-10). CMS is seeking OMB approval for the proposed revised OASIS item set, referred to hereafter as OASIS-D, scheduled for implementation on January 1, 2019. The OASIS D is being modified to: include changes pursuant to the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act); accommodate data element removals to reduce burden; and improve formatting throughout the document.

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Authorizing Statute(s): PL: Pub.L. 105 - 33 4601(e) Name of Law: Balanced Budget Act of 1997
   US Code: 42 USC 1395x Name of Law: Definitions of Services, Institutions,etc: Home Health Agency
   PL: Pub.L. 109 - 171 5201(c)(2) Name of Law: Deficit Reduction Act of 2005: Home health - pay for reporting of quality information
  

Citations for New Statutory Requirements: None

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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:
	83 FR 10730	03/12/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40055	08/13/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Medicare and Medicaid OASIS Collection Requirements (Data Collection)	CMS-10545	OASIS-D Item Set
Medicare and Medicaid Programs OASIS Collection Requirement (Training)	CMS-10545	Oasis-D-Data Item Set

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ICR Summary 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	18,174,091	17,912,198	0	0	261,893	0
Annual Time Burden (Hours)	11,651,290	15,812,511	0	0	-4,161,221	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: There has been a decreases in the burden estimate due to the removal of a significant number of data elements. The burden hours have increased from 15,812,511 to 11,651,290.

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Annual Cost to Federal Government: $1,350,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 08/23/2018

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