Information Collection

PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program

IC 202342 under ICR 202604-0938-026 · OMB 0938-1175.

Information Collection (IC) Details

View Information Collection (IC)

PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10431 Data Accuracy and Completeness Form CMS-10431_PCHQR_CY 2027_DACA_04152026_508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Notice of Participation CMS-10431_PCHQR_CY 2027_Notice of Participation_04152026_508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Documentation of Goals of Care Discussions Among Cancer Patients CMS-10431_PCHQR__CY 2027_Goals of Care Measure_04092026_508.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

11 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11 0 0 0 0 11
Annual IC Time Burden (Hours) 17 0 15 0 0 2
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk Summary of HQR Information Collection Forms_ FY 2027 IPPS Rule_04092026_508.pdf 05/11/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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