Inpatient Psychiatric Facility Quality Reporting Program

Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

OMB: 0938-1171

IC ID: 202349

Information Collection (IC) Details

View Information Collection (IC)

Inpatient Psychiatric Facility Quality Reporting Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10432 IPF Screenshots (see Supporting Statement A, section 12,under the list of Information Collection Instruments and Instruction/Guidance Documents) IPFQR web based submission screen shots_FY2022 proposed rule.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10432 Notice of Participation IPFQR_NOP_FY2020.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,634 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,366,112 0 -1,151,517 0 0 13,517,629
Annual IC Time Burden (Hours) 3,093,162 0 -287,924 0 0 3,381,086
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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