Information Collection Request

Centralized Credentials and Quality Assurance System (CCQAS)

ICR 202509-0720-005 · OMB 0720-0071 · Active

Forms and Documents
DocumentTypeStatusAvailability
CCQAS Agency Disclosure Notice_20250926.docx Supplementary Document Uploaded 2025-11-25 Repair queued
CCQAS Agency Disclosure Notice_20250926.docx Supplementary Document Uploaded 2025-11-25 Available
PCLO Signed_CCQAS SSNJ Memo_28JAN25.pdf Supplementary Document Uploaded 2025-09-29 Available
PCLO Signed_CCQAS SSNJ Memo_28JAN25.pdf Supplementary Document Uploaded 2025-09-29 Available
SS-A_0720-0071_3.24.2026 (1).docx Supporting Statement A Uploaded 2026-03-24 Repair queued
SS-A_0720-0071_3.24.2026 (1).docx Supporting Statement A Uploaded 2026-03-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
255299 CCQAS E-Application Other-System Modified
ICR Details
0720-0071 202509-0720-005
Active 202302-0720-001
DOD/DODOASHA 0720-0071
Centralized Credentials and Quality Assurance System (CCQAS)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 05/04/2026
Retrieve Notice of Action (NOA) 03/31/2026
  Inventory as of this Action Requested Previously Approved
05/31/2029 36 Months From Approved
187,500 0 0
750,000 0 0
39,660,000 0 0

This collection is important so that MHS health care providers can have access to the CCQAS system where they will be inputting data about potentially compensable events, active duty death and disability and tort claims, and the adverse privileging actions resulting from the investigation.

US Code: 10 USC 1094 Name of Law: Licensure requirement for health-care professionals
   US Code: 10 USC 1102 Name of Law: Confidentiality of medical quality assurance records
   US Code: 42 USC 117 Name of Law: Encouraging Good Faith Professional Review Activities
  
None

Not associated with rulemaking

  90 FR 34485 07/22/2025
90 FR 54308 11/26/2025
No

1
IC Title Form No. Form Name
CCQAS E-Application

  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 187,500 0 0 0 0 187,500
Annual Time Burden (Hours) 750,000 0 0 0 0 750,000
Annual Cost Burden (Dollars) 39,660,000 0 0 0 0 39,660,000
No
No

$43,660,000
No
    Yes
    Yes
No
No
No
No
Amanda Grifka 555 555-5555 [email protected]

  No

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.
03/31/2026