Information Collection Request

Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

ICR 201808-0938-014 · OMB 0938-1270 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10530 ASCQR Supporting Statement A CY 2019.docx Supporting Statement A Uploaded 2018-08-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 03/31/2021
1,140,807 0 1,140,807
278,077 0 278,077
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program CMS-10530 Data Collection insruments



Reginfo record details
  No