Ambulatory Surgical Center Quality Reporting Program (CMS-10530)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10530 Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form	Form and Instruction	Modified	Available
Form CMS-10530.ASCQR_Wi CMS-10530.ASCQR_Withdraw Form	Form and Instruction	Modified	Available
Form CMS-10530 Data Collection insruments	Form and Instruction	Modified	Available
CMS-10530_ASCQR CY 2026 FR Supporting Statement Part B_CLEAN.docx	Supporting Statement B	Uploaded 2026-01-12	Available
CMS-10530_ASCQR CY 2026 FR Supporting Statement Part A_CLEAN.docx	Supporting Statement A	Uploaded 2026-01-12	Available
CY 2026 FR ASCQR Reg Text Crosswalk_CLEAN .docx	Supplementary Document	Uploaded 2026-01-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	CMS-10530.ASCQR_Withdraw Form
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Form and Instruction	Modified	Data Collection insruments
214868	Ambulatory Surgical Center Quality Reporting (ASCQR) Program	Instruction	Modified

ICR Details

OMB Control No: 0938-1270	ICR Reference No: 202601-0938-003
Status: Received in OIRA	Previous ICR Reference No: 202508-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Ambulatory Surgical Center Quality Reporting Program (CMS-10530)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/13/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	18,360	80,102,500
Time Burden (Hours)	40,534	618,519
Cost Burden (Dollars)	0	0

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Abstract: Section 109(a) of the Tax Relief and Health Care Act of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(t) of the Social Security Act by adding a new subsection (17) that affects the payment rate update applicable to Outpatient Prospective Payment System (OPPS) payments for services furnished by hospitals in outpatient settings on or after January 1, 2009. Section 1833(t)(17)(A) of the Social Security Act, which applies to hospitals as defined under section 1886(d)(1)(B) of the Social Security Act, requires that hospitals that fail to report data required for quality measures selected by the Secretary in the form and manner required by the Secretary under section 1833(t)(17)(B) of the Social Security Act will incur a reduction in their annual payment update (APU) factor to the hospital outpatient department fee schedule by 2.0 percentage points. Hospital OQR Program payment determinations are made based on Hospital OQR Program quality measure data reported and supporting forms submitted by hospitals as specified through rulemaking. To reduce burden, a variety of different data collection mechanisms are employed, with every consideration taken to employ existing data and data collection systems.

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Authorizing Statute(s): PL: Pub.L. 109 - 432 109(b) Name of Law: Tax Relief and Health Care Act of 2006
   US Code: 42 USC 1395 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV51	Final or interim final rulemaking	90 FR 53448	11/25/2025

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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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
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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ICR Summary of Burden

table that charts list of burden

	Total Request	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	18,360	80,102,500	0	-80,084,140	0	0
Annual Time Burden (Hours)	40,534	618,519	0	-577,985	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In the CY 2026 OPPS/ASC final rule, we removed three measures that impact previously approved burden estimates: (1) the FCHE measure, beginning with the CY 2025 reporting period/CY 2027 payment determination; (2) the Screening for SDOH measure, beginning with the CY 2025 reporting period; and (3) the Screen Positive Rate for SDOH measure, beginning with the CY 2025 reporting period. Based on the measure removals in the CY 2026 OPPS/ASC final rule, we estimate a total burden of 40,534 hours

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Annual Cost to Federal Government: $10,259,932

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]? No

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)? No

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: 01/13/2026

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