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

ICR 202010-0938-009

OMB: 0938-1175

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0938-1175 202010-0938-009
Received in OIRA 202004-0938-007
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)
Revision of a currently approved collection   No
Regular 10/20/2020
  Requested Previously Approved
36 Months From Approved 12/31/2022
142,406 142,406
75,779 75,779
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-AU11 Final or interim final rulemaking 85 FR 58432 09/18/2020


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 Notice of Participation ,   Oncology Cares Measures Paper Submission ,   EBRT Pop Sample Application ,   EBRT Paper based ,   Oncology Care Measures Pop Sample application ,   Measure Exception Form ,   Data Accuracy and Completeness Form

  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 142,406 142,406 0 0 0 0
Annual Time Burden (Hours) 75,779 75,779 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

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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