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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form cms-10552 Medicare Promoting Interoperability Program Hardship Exception Application	Form and Instruction	Unchanged	Available
Form CMS-10552 Attestation screen shots	Form and Instruction	Unchanged	Available
Form CMS-10552 ?495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Unchanged	Repair queued
CMS-10552 Medicare PI_Supporting Statement A_CLEAN_(08-26-2025).docx	Supporting Statement A	Uploaded 2025-09-03	Available
CMS-10552 Medicare PI_Supporting Statement A_CLEAN_(08-26-2025).docx	Supporting Statement A	Uploaded 2025-09-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216082	§495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Unchanged	Medicare Promoting Interoperability Program Hardship Exception Application
216082	§495.24(e) Objectives/Measures (hospitals/CAHs)	Instruction	Unchanged
216082	§495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Unchanged	Attestation screen shots
216082	?495.24(e) Objectives/Measures (hospitals/CAHs)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0938-1278	ICR Reference No: 202509-0938-006
Status: Active	Previous ICR Reference No: 202507-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Implementation of Medicare Programs; - Medicare Promoting Interoperability Program (CMS-10552)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/09/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/03/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2029	36 Months From Approved	04/30/2027
Responses	4,550	0	4,550
Time Burden (Hours)	30,151	0	30,151
Cost Burden (Dollars)	0	0	0

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Abstract: Abstract (2000 characters maximum) The American Recovery and Reinvestment Act of 2009 (Recovery Act) (Pub. L. 111-5) was enacted on February 17, 2009, and includes measures to modernize our nation's infrastructure and improve affordable health care. Expanded use of health information technology (HIT) and certified electronic health record (EHR) technology will improve the quality and value of America's health care. Title IV of Division B of the Recovery Act amends Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs), and Medicare Advantage organizations participating in the Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified EHR technology (CEHRT). These Recovery Act provisions, together with Title XIII of Division A of the Recovery Act, may be cited as the “Health Information Technology for Economic and Clinical Health Act” or the “HITECH Act”. In 2019, the EHR Incentives Program for eligible hospitals and CAHs was subsequently renamed the Medicare Promoting Interoperability Program. We are collecting information from participants in this program on objectives and measures focused on the meaningful use of CEHRT in order to incentivize the advanced use of CEHRT to support health information exchange, interoperability, advanced quality measurement, and maximizing clinical effectiveness and efficiency. In the FY 2026 IPPS/LTCH PPS proposed rule, we proposed to adopt a new optional bonus measure under the Public Health and Clinical Data Exchange objective for health information exchange with a public health agency (PHA) that occurs using TEFCA, and where the eligible hospital or CAH meets certain additional requirements, beginning with the EHR reporting period in CY 2026. We also proposed to modify two measures: (1) the SAFER Guides measure, which we proposed to modify by requiring eligible hospitals and CAHs to attest “yes” to completing an annual self-assessment using the SAFER Guides published in January 2025 beginning with the EHR reporting period in CY 2026; and (2) the Security Risk Analysis measure, which we proposed to modify to require eligible hospitals and CAHs to attest “yes” to having conducted security risk management as required under the HIPAA Security Rule beginning with the EHR reporting period in CY 2026. We also proposed to define the EHR reporting period in CY 2026 and subsequent years as a minimum of any continuous 180-day period within that CY for eligible hospitals and CAHs participating in the Medicare Promoting Interoperability Program.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV45	Final or interim final rulemaking	90 FR 36536	08/04/2025

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
§495.24(e) Objectives/Measures (hospitals/CAHs)	CMS-10552, cms-10552	Attestation screen shots ,   Medicare Promoting Interoperability Program Hardship Exception Application

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ICR Summary of Burden

table that charts list of burden

	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	4,550	4,550	0	0	0	0
Annual Time Burden (Hours)	30,151	30,151	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $10,582,965

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/03/2025

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