Information Collection

Implementation and reporting for the Quality Rating System (QRS)

IC 212992 under ICR 202508-0938-006 · OMB 0938-1249.

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Information Collection (IC) Details

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IC Title:	Implementation and reporting for the Quality Rating System (QRS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 156.1105 45 CFR 155.200(d) 45 CFR 156.1120-1125 45 CFR 156.200(b)(5)

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: 380	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: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	380	80	300
Annual IC Time Burden (Hours)	501,980	133,880	368,100
Annual IC Cost Burden (Dollars)	0	0	0

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

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