Information Collection Request
PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)
ICR 202405-0938-016 · OMB 0938-1175 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1175 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10431 PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program |
Form and Instruction | Modified | Missing upstream |
 CMS-10431 PCHQR FY 2025 PR Supporting Statement A_clean 050924.docx |
Supporting Statement A | Uploaded 2024-05-15 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 202342 |  PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1175 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202308-0938-011 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |