Information Collection Request

Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

ICR 201909-0938-004 · OMB 0938-1270 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10530 Supporting Statement Part B-2019_4_23_ASCQR.docx Supporting Statement B Uploaded 2019-09-24 Available
CMS-10530-Supporting-Statement-A-ASCQR CY-2020-Clean.docx Supporting Statement A Uploaded 2019-09-24 Available

IC Document Collections

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

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2022 36 Months From Approved 01/31/2022
793,699 0 793,699
202,592 0 202,592
0 0 0





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



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