Information Collection Request

Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

ICR 202309-0938-003 · OMB 0938-1270 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10530.ASCQR_Wi CMS-10530.ASCQR_Withdraw Form Form and Instruction Modified Repair queued
Form CMS-10530.CMS Qual CMS-10530.CMS Quality Program ECE Request Form_CY 2024_vFinal Form and Instruction Modified Repair queued
Form CMS-10530 Data Collection insruments Form and Instruction Modified Available
Form CMS-10530 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction Modified Repair queued
CMS-10530. ASCQR CY 2024 FR Supporting Statement B (proposed rule).docx Supporting Statement B Uploaded 2023-09-06 Repair queued
CMS-10530. ASCQR CY 2024 FR Supporting Statement A (proposed rule).docx Supporting Statement A Uploaded 2023-09-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction ModifiedCMS-10530.ASCQR_Withdraw Form
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction ModifiedCMS-10530.CMS Quality Program ECE Request Form_CY 2024_vFinal
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction ModifiedData Collection insruments
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction Modified
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2025 36 Months From Approved 08/31/2025
1,189,376 0 1,189,376
51,158 0 51,158
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program CMS-10530.CMS Quality Program ECE Request Form_CY , CMS-10530.ASCQR_Withdraw Form, CMS-10530 ,   ,  



Reginfo record details
  No