PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)

ICR 201910-0938-003

OMB: 0938-1175

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0938-1175 201910-0938-003
Active 201905-0938-010
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)
Revision of a currently approved collection   No
Approved without change 12/23/2019
Retrieve Notice of Action (NOA) 10/24/2019
  Inventory as of this Action Requested Previously Approved
12/31/2022 36 Months From Approved 01/31/2022
142,406 0 108,500
75,779 0 75,782
0 0 0

Section 3005 of the Affordable Care Act authorizes the establishment of a quality reporting program for PPS-exempt cancer hospitals (PCHs). This is an update to the previously approved PCHQR Program PRA submission. We are proposing to remove one web-based, structural quality measure and are requesting a revision of the currently approved collection to reduce the estimated burden.

PL: Pub.L. 111 - 48 3005 Name of Law: Affordable Care Act

0938-AT73 Final or interim final rulemaking 84 FR 42044 08/16/2019


IC Title Form No. Form Name
PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431, CMS-10431 EBRT Pop Sample Application ,   EBRT Paper based ,   Oncology Care Measures Pop Sample application ,   Measure Exception Form ,   Oncology Cares Measures Paper Submission ,   Data Accuracy and Completeness Form ,   Notice of Participation

  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 142,406 108,500 0 0 33,906 0
Annual Time Burden (Hours) 75,779 75,782 0 -3 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
We are reducing a previously approved burden. We are finalizing the removal of one (1) web-based structural measure from the PCHQR Program, which will reduce the information collection burden on the PCHs. The change in the burden associated with these finalized policies is a reduction of approximately 3 hours (.25 fewer hours per year per PCH for the finalized removal of the web-based structural measure x 11 PCHs) across all 11 PCHs annually, and approximately $113 (.25 hours per PCH x 11 PCHs x $37.66 wage) annually across all 11 PCHs.

Denise King 410 786-1013 [email protected]


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:
    (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;
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.

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