Information Collection Request

Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

ICR 202508-0938-013 · OMB unassigned · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10530 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction Modified Available
CY2026_PR_ASCQRRegTextCrosswalk.pdf Supplementary Document Uploaded 2025-08-19 Available
CMS-10530_ASCQR CY 2026 Supporting Statement Part B.docx Supporting Statement B Uploaded 2025-08-19 Available
CMS-10530_ASCQR CY 2026 Supporting Statement Part A.docx Supporting Statement A Uploaded 2025-08-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214868 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2026 36 Months From Approved 01/31/2026
80,102,500 0 80,102,500
618,519 0 618,519
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program CMS-10530.ASCQR_Withdraw Form, CMS-10530, CMS-10530 Data Collection insruments ,   CMS-10530.ASCQR_Withdraw Form ,   Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form



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