Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10432 Psychiatric Inpatient Experience (PIX) Survey	Form and Instruction	Modified	Available
Form CMS-10432 IPFQR Data Entry Screen Shots	Form and Instruction	Modified	Available
Form CMS-10432 Data Accuracy and Completeness Acknowledgement (DACA)	Form and Instruction	Modified	Available
CMS-10432_9_IPFQR_ Summary of IPFQR Information Collection Forms - FY 2027 IPFQR Proposed Rule_IPFQR PRA_CY 2027_20260506.docx	Supplementary Document	Uploaded 2026-05-18	Available
CMS-10432_10_FY 2027 IPFQR PR Supporting Statement Part A_20260422.docx	Supporting Statement A	Uploaded 2026-05-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
202349	Inpatient Psychiatric Facility Quality Reporting Program	Form and Instruction	Modified	Psychiatric Inpatient Experience (PIX) Survey
202349	Inpatient Psychiatric Facility Quality Reporting Program	Form and Instruction	Modified	IPFQR Data Entry Screen Shots
202349	Inpatient Psychiatric Facility Quality Reporting Program	Form and Instruction	Modified	Data Accuracy and Completeness Acknowledgement (DACA)

ICR Details

OMB Control No: 0938-1171	ICR Reference No: 202604-0938-008
Status: Received in OIRA	Previous ICR Reference No: 202508-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No: CCSQ
Title: Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/28/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/29/2028
Responses	8,952,336	10,820,880
Time Burden (Hours)	2,179,121	2,645,051
Cost Burden (Dollars)	0	0

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Abstract: Pursuant to section 1886(s)(4)(C) of the Social Security Act as added and amended by sections 3401 and 10322 of the Patient Protection and Affordable Care Act (ACA) and further amended by section 4125(c) of the Consolidated Appropriations Act, 2023, starting in FY 2014 (that is, October 1, 2013 through September 30, 2014) and for subsequent fiscal years, IPFs paid under the IPF PPS shall submit pre-defined quality measures to the CMS. Such data shall be submitted in a form and manner, and at a time specified by the Secretary. Section 1886(s)(4)(A) of the Act provides that IPFs that fail to submit data on the selected quality measures and comply with other administrative requirements will have their IPF prospective payment system (PPS) payment updates reduced by 2.0 percentage points. This is a revision of the currently approved information collection request. The Centers for Medicare & Medicaid Services’ (CMS’) quality reporting programs promote higher quality, more efficient healthcare for Medicare beneficiaries by collecting and reporting on quality-of-care metrics. This information is made available to consumers, both to empower Medicare beneficiaries and inform decision-making, as well as to incentivize healthcare facilities to make continued improvements. Specifically, CMS has implemented quality measure reporting programs for multiple settings, including for the Inpatient Psychiatric Facility (IPF) setting, to achieve its overarching priorities and initiatives, including the National Quality Strategy and the Meaningful Measure 2.0 Framework. In particular, Meaningful Measures 2.0 promotes innovation and modernization of all aspects of quality to better address health care priorities and gaps, emphasize digital quality measurement, and promote patient perspectives by supporting five interrelated goals: (1) empower consumers to make good health care choices through patient-directed quality measures and public transparency, (2) leverage quality measures to promote health equity and close gaps in care, (3) streamline quality measurement, (4) leverage measures to drive outcome improvement through public reporting and payment programs, and (5) improve quality measure efficiency by transitioning to digital measures and using advanced data analytics. The information collection requirements for the FY 2014 through FY 2028 program years (that is, data submitted from CY 2013 through CY 2027) are currently approved under OMB control number 0938-1171 (expiration date January 31, 2027). This request covers updates to the data collection requirements beginning with the FY 2026 payment determination (that is data submitted in CY 2025) and subsequent years.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 10322 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AV77	Proposed rulemaking	91 FR 17720	04/07/2026

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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
Inpatient Psychiatric Facility Quality Reporting Program	CMS-10432, CMS-10432, CMS-10432	Data Accuracy and Completeness Acknowledgement (DACA) ,   IPFQR Data Entry Screen Shots ,   Psychiatric Inpatient Experience (PIX) Survey

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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	8,952,336	10,820,880	0	-1,868,544	0	0
Annual Time Burden (Hours)	2,179,121	2,645,051	0	-465,930	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: This collection of information request describes changes to the IPFQR Program in association with the FY 2027 IPF PPS proposed rule. Burden adjustments are based on the availability of accurate data and the proposed rule-related changes that reflect removal of two measures (SUB-2/SUB-2a and TOB-3/TOB-3a). CMS estimates a total decrease in burden hours of 465,930 hours (+10,308 - 476,238) and decrease in cost of $26,280,617 (+$605,437 - $26,221,664 - $664,390) due to measure removals, updated number of IPFs and discharges, and updated wage rates.

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Annual Cost to Federal Government: $179,431

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)? No

Is this ICR related to the Pandemic Response? Yes

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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: 05/28/2026

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