Information Collection Request

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

ICR 202302-0938-013 · OMB 0938-1109 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10250 Hospital Outpatient Quality Reporting Form and Instruction Modified Repair queued
CMS-10250.SupportingStatementPartB (final rule).docx Supporting Statement B Uploaded 2023-02-16 Repair queued
CMS-10250.SupportingStatementPartA (final rule).docx Supporting Statement A Uploaded 2023-02-16 Available

IC Document Collections

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

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1109
Revision of a currently approved collection
202212-0938-009
CCSQ
1969-12-31
1969-12-31