Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program

Quality Measures and Administrative Procedures for the Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program for the FY 2025 SNF PPS Proposed Rule (CMS-10895)

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Skilled Nursing Facility Value-Based Purchasing Program and Quality Reporting Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 1888(e)(6) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 85 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	7,680	7,680
Annual IC Cost Burden (Dollars)	813,069	813,069

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.