PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program

PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)

OMB: 0938-1175

IC ID: 202342

Information Collection (IC) Details

View Information Collection (IC)

PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10431 Oncology Care Measures Pop Sample application Form OCMs PopSample_application_April 17 2014_03242017 (508).docx Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Measure Exception Form PCHQR_PRA_Measure Exception Form_CY2024_05192023_clean.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Oncology Cares Measures Paper Submission PQ 2019-01-29 V1 Data Collection - Oncology Care Measures Paper Form (PC....docx Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Data Accuracy and Completeness Form PCHQR_PRA_HQR FY2025 DACA_05192023_clean.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Notice of Participation PCH NOP Paper Form_03242017 (508).docx Yes Yes Fillable Fileable

Health Health Care Services

 

11 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 11 0 0 0 0 11
Annual IC Time Burden (Hours) 109 0 106 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Measures exception form redline PCHQR_PRA_Measure Exception Form_CY2024_05192023_redlined.docx 05/23/2023
Data Accuracy and Completeness Acknowledgement redline PCHQR_PRA_HQR FY2025 DACA_05192023_redlined.docx 05/23/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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