Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10530.ASCQR_Wi CMS-10530.ASCQR_Withdraw Form	Form and Instruction	Modified	Available
Form CMS-10530.CMS Qual CMS-10530.CMS Quality Program ECE Request Form_CY 2024_vFinal	Form and Instruction	Modified	Available
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.Supporting Statement Part B (final rule).docx	Supporting Statement B	Uploaded 2024-02-28	Repair queued
CMS-10530.Supporting Statement Part A (final rule).docx	Supporting Statement A	Uploaded 2024-02-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	CMS-10530.ASCQR_Withdraw Form
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	CMS-10530.CMS Quality Program ECE Request Form_CY 2024_vFinal
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	Data 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

OMB Control No: 0938-1270	ICR Reference No: 202402-0938-013
Status: Historical Active	Previous ICR Reference No: 202309-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Ambulatory Surgical Center Quality Reporting Program (CMS-10530)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/28/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2027	36 Months From Approved	08/31/2025
Responses	1,294,592	0	1,189,376
Time Burden (Hours)	54,491	0	51,158
Cost Burden (Dollars)	0	0	0

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Abstract: Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Social Security Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Social Security Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Social Security Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.

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Authorizing Statute(s): US Code: 42 USC 1395 Name of Law: Social Security Act
   PL: Pub.L. 109 - 432 109(b) Name of Law: Tax Relief and Health Care Act of 2006
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV09	Final or interim final rulemaking	88 FR 81540	11/22/2023

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 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	Data Collection insruments ,   CMS-10530.CMS Quality Program ECE Request Form_CY 2024_vFinal ,   CMS-10530.ASCQR_Withdraw Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,294,592	1,189,376	0	105,216	0	0
Annual Time Burden (Hours)	54,491	51,158	0	3,333	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The proposal to adoption of the THA/TKA PRO-PM increases burden by 2,8496,846 hours at a cost of $68,218150,811 through the CY 20310 payment determination. In aggregate, we estimate a total net increase in burden of 7,689 hours at a cost of $194,748 associated with these proposals. We are also updating the wage rate from $46.46/hour to $52.12/hour based on more recent BLS wage data, as previously discussed. This increase of $5.66/hour results in a total increase in burden of $302,67413,253 for the estimated burden hours for the CY 2026 payment determination. For the CY 2024 reporting period/CY 2026 payment determination, based on the finalized policy proposals in the CY 2024 OPPS/ASC final proposed rule with comment period, we estimate a total burden of 53,4765,345 hours and $2,787,207884,511: an increase of 2,3184,187 hours and $410,401507,705 from our currently approved burden estimates. This increase is entirely due to our updated estimate of the number of ASCs that will report measure data from 4,646 ASCs to 4,8095,057 ASCs.

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Annual Cost to Federal Government: $12,705,377

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/28/2024

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