[Medicaid] Rural Health Transformation (RHT) Program Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10949 RHT Program Project Plan Template	Form and Instruction	New	Available
Form CMS-10949 RHT Program Reporting Template	Form and Instruction	New	Available
Public Comments (Bulk).pdf	Public Comments	Uploaded 2026-05-20	Available
RHTP_CMS PRA Comment Responses_06.09.2026_final_clean.docx	Supplementary Document	Uploaded 2026-07-06	Available
CMS-10949 - Supporting Statement A (2026 version 6).docx	Supporting Statement A	Uploaded 2026-07-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
281344	Rural Health Transformation (RHT) Program Reporting	Form and Instruction	New	RHT Program Project Plan Template
281344	Rural Health Transformation (RHT) Program Reporting	Form and Instruction	New	RHT Program Reporting Template
281344	Rural Health Transformation (RHT) Program Reporting	Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202607-0938-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Rural Health Transformation (RHT) Program Reporting
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/06/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	200	0
Time Burden (Hours)	20,000	0
Cost Burden (Dollars)	0	0

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Abstract: On July 4, 2025, President Trump signed Public Law 119-21, which the Centers for Medicare & Medicaid Services (CMS) refers to as the “Working Families Tax Cut” (WFTC) legislation, into law. The legislation authorized the Rural Health Transformation (RHT) Program, marking a significant federal investment of $50 billion over five years and is designed to empower as many as 50 State awardees to catalyze transformative improvements within their rural healthcare ecosystems. The principal objective is to enhance healthcare access, quality, and outcomes through innovative, system-wide change, thereby investing in the health of rural communities for future generations.

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Authorizing Statute(s): PL: Pub.L. 119 - 21 71401 Name of Law: Working Families Tax Cut (WFTC) legislation
  

Citations for New Statutory Requirements: PL: Pub.L. 119 - 21 71401 Name of Law: Working Families Tax Cut (WFTC) legislation

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 11978	03/11/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 41039	07/06/2026
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
Rural Health Transformation (RHT) Program Reporting	CMS-10949, CMS-10949	RHT Program Reporting Template ,   RHT Program Project Plan Template

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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	200	0	200	0	0	0
Annual Time Burden (Hours)	20,000	0	20,000	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: State awardees are required to complete the data collection quarterly and annually. The reporting template will be disseminated to all 50 State awardees and estimate it will take 80 hours to complete each annual report. In aggregate, we estimate an annual burden of 12,000 hours (50 States x 80 hr/State). We estimate it will take 160 hours to complete each quarterly report. In aggregate, we estimate an annual burden of 8,000 hours (50 States x 160 hr/State x 3 reports/year). The fourth quarterly report for each will be waived in place of the annual report. The total respondent burden is 20,000 hours.

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Annual Cost to Federal Government: $188,921

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: 07/06/2026

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