Information Collection Request

Implementation of Medicare and Medicaid Programs; - Promoting Interoperability Programs Stage 3 (CMS-10552)

ICR 202112-0938-013 · OMB 0938-1278 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10552 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Modified Repair queued
CMS-10552_Supporting_Statement_Part_A_FY 2022 rule _(09-27-2021)_CLEAN.docx Supporting Statement A Uploaded 2021-12-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
231472 ?495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs) Removed
216085 ?495.316 – Quarterly Reporting Removed
216082 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Modified
216075 ? 495.24(d)-Objectives/Measures (EPs) Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 12/31/2021
3,300 33,657
21,450 249,818
0 0





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 3,300 33,657 0 -30,357 0 0
Annual Time Burden (Hours) 21,450 249,818 0 -228,368 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No