Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10569 : End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network	Form and Instruction	Modified	Available
CMS-10569 Supporting Statement B CROWNWeb CY 2020 (11-15-2019).docx	Supporting Statement B	Uploaded 2019-12-04	Available
CMS-10569 Supporting Statement A CROWNWeb CY 2020 (11-15-2019).docx	Supporting Statement A	Uploaded 2019-12-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217583	: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network	Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1289	ICR Reference No: 201912-0938-005
Status: Historical Inactive	Previous ICR Reference No: 201908-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb) (CMS-10569)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/28/2020
	Date Received in OIRA: 12/23/2019
Terms of Clearance: The request can be resubmitted when the Program has compiled the requested screenshots.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved	11/30/2021
Responses	509,938	0	509,938
Time Burden (Hours)	3,097,383	0	3,097,383
Cost Burden (Dollars)	0	0	0

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Abstract: Section 1881(h) of the Social Security Act, as amended by Section 153(h) of the Medicare Improvements for Patients and Providers Act, authorizes the establishment of a quality incentive program for renal dialysis facilities. Beginning in CY 2016, renal dialysis facilities have been required to collect and submit data on quality reporting measures to CMS using Consolidated Renal Operations in a Web-Enabled Network (CROWNWeb); in CY 2018, this will be increased to eight quality reporting measures. Measures are added to the ESRD Quality Incentive Program in order to ensure a measure set that reflects the appropriate level of care and the most important areas of service furnished by renal dialysis facilities. Measure data are intended to be publicly reported.

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Authorizing Statute(s): US Code: 42 USC 1395 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: US Code: 42 USC 1395; section 1881 Name of Law: Social Security Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AT70	Final or interim final rulemaking	84 FR 60648	11/08/2019

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Federal Register Notices & Comments

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
: End-Stage Renal Disease Quality Incentive Program: Data Collection for Quality Measures Using the Consolidated Renal Operations in a Web-Enabled Network	CMS-10569, CMS-10569	Request Letter to Facilities_template ,   Screenshots

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The overall burden specified in this PRA package (for the CY 2020 ESRD PPS final rule) is higher than the overall burden specified in the previous PRA package (associated with the CY 2019 ESRD PPS final rule). The annual burden hours increased from 3,097,383 to 3,329,109. The following factors are driving this increase: 1. The PRA package associated with the CY 2019 ESRD PPS final rule specified the burden for PY 2021 and PY 2022; the current PRA package (associated with the CY 2020 ESRD PPS final rule) specifies burden for PY 2022 and PY 2023. As noted above, the CY 2019 ESRD PPS final rule finalized the addition of the MedRec reporting measure beginning with the PY 2022 ESRD QIP. The MedRec reporting measure increased burden beginning with the PY 2022 ESRD QIP; this burden was reflected in one of the two payment years covered in the previous PRA package. The current PRA package is first one that accounts for MedRec’s burden across two payment years, rather than one payment year. 2. The current PRA package uses an updated wage estimate for Medical Records and Health Information Technicians. This estimate is higher than the one used in the previous PRA package. 3. The current PRA package uses an updated estimate of the total number of facilities. This estimate is higher than the one used in the previous PRA package. 4. The current PRA package uses an updated estimate of the total number of patients. This estimate is higher than the one used in the previous PRA package.

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Annual Cost to Federal Government: $2,071,968

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: 12/23/2019

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