Information Collection Request

Hospital Outpatient Quality Data Program (HOPQDRP) (CMS-10250)

ICR 202008-0938-013 · OMB 0938-1109 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10250 Hospital Outpatient Quality Reporting Form and Instruction Modified Available
CMS-10250 CY 2021 HOQR Supporting Statement Part B 8-26-20.docx Supporting Statement B Uploaded 2020-08-26 Available
CMS-10250 CY 2021 HOQR Supporting Statement A 8-26-2020.docx Supporting Statement A Uploaded 2020-08-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
217995 Hospital Outpatient Quality Reporting Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved 03/31/2023
3,125,100 0 3,125,100
1,387,119 0 1,387,119
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Hospital Outpatient Quality Reporting CMS-10250, CMS-10250 Validation Review for Reconsideration Request ,   Web Based Data Collection Tool



Reginfo record details
  No