Information Collection Request

Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552)

ICR 202410-0938-013 · OMB 0938-1278 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10552 Attestation screen shots Form and Instruction Unchanged Available
Form CMS-10552 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Unchanged Repair queued
CMS-10552 Medicare Promoting Interoperability FY 2025 FR Supporting Statement A_CLEAN_(10-08-2024).docx Supporting Statement A Uploaded 2024-10-11 Available
CMS-10552 Medicare Promoting Interoperability FY 2025 FR Supporting Statement A_CLEAN_(10-08-2024).docx Supporting Statement A Uploaded 2024-10-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216082 §495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction UnchangedAttestation screen shots
216082 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Unchanged
216082 §495.24(e) Objectives/Measures (hospitals/CAHs) Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2027 36 Months From Approved 04/30/2027
4,550 0 4,500
30,151 0 29,625
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
§495.24(e) Objectives/Measures (hospitals/CAHs) CMS-10552

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 4,550 4,500 0 50 0 0
Annual Time Burden (Hours) 30,151 29,625 0 526 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No