Reinstatement with change of a previously approved collection
No
Regular
Approved without change
02/13/2026
08/28/2025
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
02/28/2029
36 Months From Approved
9,209,893
0
0
4,032,329
0
0
0
0
0
The CoPs and accompanying requirements specified in the regulations are used by Federal or State surveyors as a basis for determining whether a hospice qualifies for approval or re-approval under Medicare. CMS and the healthcare industry believe that the availability to the hospice of the type of records and general content of records, which this regulation specifies, is standard medical practice, and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability.
This package has been updated to reflect changes in information collection requirements related to new or revised Conditions of Participation. For this reinstatement, the total annual burden hours for industry are 4,032,329 hours and the annual burden costs are $350,449,922. The annual burden hours to industry increased 10.8% from 3,639,215 to 4,032,329. The reasons for the change in annual burden hours are due to the following:
⢠The overall number of newly certified hospices per year continues to increase. The prior version estimated that 280 hospices per year would be newly certified while current estimates expect more than 540 newly certified hospices per year.
⢠The current number of certified hospices is in the range of 6,400 - 7,300 while the prior reinstatement estimate less than 5,000 certified hospices were operating and billing Medicare.
⢠Given the increase in hospice facilities, the number of hospice patients and staff subject to the CoPs has increased, thereby increasing burden hours across the industry.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
CMS-10277 Supporting Statement Final 8.13.25.docx
CMS-2025-0061-0004.html.pdf
CMS-2025-0061-0003.html
Hospice Conditions of Participation 418.22(b) Certification Form Development