OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210)

OMB 0938-1022 · HHS/CMS.

OMB 0938-1022

This request covers data collection requirements for the FY 2027 payment determination and subsequent years. This revised information collection request includes burden for the proposed adoption of the Age Friendly Hospital measure, the proposed increase in the number of eCQMs hospitals would be required to report, and the removal of the Measure Exception Form for NHSN HAI Measures from this information collection in addition to updated data and wage rates impacting previously approved burden calculations.

The latest form for Hospital Reporting Initiative--Hospital Quality Measures (CMS-10210) expires 2028-12-31 and is listed under ICR 202508-0938-019.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10210 Age Friendly Structural MeasureForm and Instruction
Form CMS-10210 THA/TKA Patient-Reported Outcome-based Performance MeasureForm and Instruction
Form CMS-10210 Hospital Inpatient Quality Reporting Program Denominator DeclarationForm and Instruction
Form CMS-10210 Population and SamplingForm and Instruction
Form CMS-10210 Maternal Morbidity Structural MeasureForm and Instruction
Form CMS-10210 Validation Educational Review FormForm and Instruction
Form CMS-10210 HVBP CMS Independent Review FormForm and Instruction
Form CMS-10210 VBP Appeal Request FormForm and Instruction
Form CMS-10210 Validation Review for Reconsideration RequestForm and Instruction
Form CMS-10210 IQR Reconsideration Request FormForm and Instruction
Form CMS-10210 IQR Notice of Participation FormForm and Instruction
Form CMS-10210 Hospital Compare Request Form for Withholding/Footnoting Data for Public ReportingForm and Instruction
Form CMS-10210 Extraordinary Circumstances FormForm and Instruction
Form CMS-10210 Hospital VPB Review and Corrections FormForm and Instruction
Form CMS-10210 Data Accuracy and Completeness FormForm and Instruction
CMS-10210 HIQR FY 2027 Supporting Statement B.docxSupporting Statement B
CMS-10210 HIQR FY 2027 Supporting Statement A.docx (document unavailable)Supporting Statement A
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-0938-027 Revision of a currently approved collection 2026-05-27
202508-0938-019 Revision of a currently approved collection 2025-08-26
202506-0938-015 Revision of a currently approved collection 2025-06-30
202409-0938-008 Revision of a currently approved collection 2024-09-16
202406-0938-006 Revision of a currently approved collection 2024-06-17 Comment filed on proposed rule and continue
202309-0938-013 Revision of a currently approved collection 2023-09-25 Approved without change
202306-0938-011 Revision of a currently approved collection 2023-06-28 Comment filed on proposed rule and continue
202211-0938-014 Revision of a currently approved collection 2022-11-28 Approved without change
202206-0938-004 Revision of a currently approved collection 2022-06-06 Comment filed on proposed rule and continue
202109-0938-012 Revision of a currently approved collection 2021-09-13 Approved without change
202108-0938-001 Revision of a currently approved collection 2021-08-05 Comment filed on proposed rule and continue
202010-0938-013 Revision of a currently approved collection 2020-11-05
202004-0938-009 Revision of a currently approved collection 2020-05-29 Comment filed on proposed rule and continue
201910-0938-001 Revision of a currently approved collection 2019-10-30 Approved with change
201905-0938-008 Revision of a currently approved collection 2019-05-15 Comment filed on proposed rule and continue
201812-0938-015 Revision of a currently approved collection 2018-12-14 Approved without change
201804-0938-021 Revision of a currently approved collection 2018-04-26 Comment filed on proposed rule and continue
201708-0938-009 Revision of a currently approved collection 2017-08-21 Approved with change
201705-0938-004 Revision of a currently approved collection 2017-05-19 Comment filed on proposed rule and continue
201609-0938-002 Revision of a currently approved collection 2016-09-14 Approved with change
201511-0938-001 Revision of a currently approved collection 2015-11-02 Approved with change
201506-0938-004 Revision of a currently approved collection 2015-06-12 Comment filed on proposed rule and continue
201504-0938-002 Revision of a currently approved collection 2015-04-02 Approved without change
201402-0938-012 Revision of a currently approved collection 2014-02-21 Comment filed on proposed rule and continue
201307-0938-012 Revision of a currently approved collection 2013-07-22 Comment filed on proposed rule and continue
201210-0938-002 Reinstatement with change of a previously approved collection 2012-10-02 Approved with change
201208-0938-001 Reinstatement with change of a previously approved collection 2012-08-07 Comment filed on proposed rule
200803-0938-005 Revision of a currently approved collection 2008-03-20 Approved without change
200702-0938-004 New collection (Request for a new OMB Control Number) 2007-02-09 Approved without change