Hospital Outpatient Quality Reporting

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

OMB: 0938-1109

IC ID: 217995

Information Collection (IC) Details

View Information Collection (IC)

Hospital Outpatient Quality Reporting
 
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-10250 Validation Review for Reconsideration Request OQR_Form_ValidnReviewReq_CY 2019.pdf Yes Yes Fillable Fileable
Instruction OQR Specifcations Manaul v13.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10250 Web Based Data Collection Tool OQR Web Based Measures Data Collection Tool w PRA Notice.docx Yes Yes Fillable Fileable

Health Health Care Services

 

3,350 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved 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 968,150 0 0 14,450 0 953,700
Annual IC Time Burden (Hours) 291,604 0 0 -616,066 0 907,670
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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