Information Collection Request

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

ICR 202507-0938-011 · OMB 0938-1278 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form cms-10552 Medicare Promoting Interoperability Program Hardship Exception Application Form and Instruction Modified Available
Form CMS-10552 Attestation screen shots Form and Instruction Modified Available
Form CMS-10552 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Modified Repair queued
CMS-10552 Medicare Promoting Interoperability FY 2026 PR Supporting Statement A_CLEAN 07-08-2025.docx Supporting Statement A Uploaded 2025-07-08 Available
CMS-10552 Medicare Promoting Interoperability FY 2026 PR Supporting Statement A_CLEAN 07-08-2025.docx Supporting Statement A Uploaded 2025-07-08 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216082 §495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction ModifiedMedicare Promoting Interoperability Program Hardship Exception Application
216082 §495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction ModifiedAttestation screen shots
216082 ?495.24(e) Objectives/Measures (hospitals/CAHs) Form and Instruction Modified
216082 §495.24(e) Objectives/Measures (hospitals/CAHs) Instruction Modified

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 4,550
30,151 0 30,151
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, cms-10552 ,  



Reginfo record details
  No