Long Term Care Hospital
(LTCH) Quality Reporting Program (CMS-10409)
Extension without change of a currently approved collection
No
Regular
04/26/2022
Requested
Previously Approved
36 Months From Approved
12/31/2022
204,936
204,936
145,831
145,831
0
0
The Centers for Medicare &
Medicaid Services (CMS) is requesting an extension to the Long-Term
Care Hospital Continuity Assessment Record and Evaluation Data Set
(LTCH CARE Data Set or LCDS) Version 5.0 that will be effective on
October 1, 2022.
PL:
Pub.L. 111 - 148 3004 Name of Law: Quality reporting for LTCHs,
inpatient rehabilitation hospitals, and hospice programs
PL: Pub.L. 111 - 148 3004 Name of Law:
Quality reporting for LTCHs, inpatient rehabilitation hospitals,
and hospice programs
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.