Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey (CMS-10714)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10714 - 30-day Supporting Statement.docx	Supporting Statement A	Uploaded 2020-03-11	Missing upstream
CMS-10714 - Supporting Statement B.docx	Supporting Statement B	Uploaded 2020-03-11	Repair queued
CMS-10463 - Attachment E - Response to 60-day comments.docx	Supplementary Document	Uploaded 2020-03-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240707	Pilot Measure Questions	Other-Pilot Measure Questions	New

ICR Details

OMB Control No:	ICR Reference No: 202003-0938-007
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI-10714
Title: Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey (CMS-10714)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/12/2020

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	240	0
Time Burden (Hours)	120	0
Cost Burden (Dollars)	0	0

---

Abstract: The CMS’ Electronic Medical Documentation Interoperability (EMDI) program supports the Office of the National Coordinator for Health Information Technology (ONC) standards and interoperability programs. CMS has developed an EMDI Pre and Post Pilot Survey to collect information/data that will help the EMDI team, and CMS determine the overall effectiveness of piloting the EMDI program. The program aims to reduce administrative burden for providers, increase interoperability among systems and organizations across the public and private sectors, and improve provider communication.

---

Authorizing Statute(s): PL: Pub.L. 111 - 148 3014 Name of Law: Affordable care Act
   PL: Pub.L. 111 - 148 3015 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 3014 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 3015 Name of Law: Affordable Care Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 61911	11/14/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 10442	02/24/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Pilot Measure Questions

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	240	0	240	0	0	0
Annual Time Burden (Hours)	120	0	120	0	0	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: This is a new collection of information

---

Annual Cost to Federal Government: $0

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.     No

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.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

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? No

---

Common Form ICR:  No

---

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: 03/12/2020

---