OMB control number

Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706)

OMB 0938-1397 · HHS/CMS.

OMB 0938-1397

The CMS Center for Clinical Standards and Quality (CCSQ) is responsible for administering appropriate information systems so that the public can submit healthcare-related information. CMS is continually implementing and updating information systems as legislation and requirements change. To support this initiative, CIPST teams must have the capacity for engagement with users in an ongoing variety of research, discovery, and validation activities to create and refine systems that do not place an undue burden on users and instead are efficient, usable, and desirable. The primary CIPST users are not beneficiaries, but rather representatives of healthcare facilities who are responsible for disseminating aggregate healthcare data to CMS. The information collected from voluntary participants by CIPST product team members will help CMS CCSQ inform the design, selection, testing, modification, and expansion of innovative healthcare quality information systems. Because CMS employees, contractors, and partners are responsible for creating and improving human-centered products, services, and policies, by definition, they must engage with and gather regular feedback from the public for whom these products, services, and systems serve. The generic clearance will allow a rapid response to inform CMS initiatives using a mixture of qualitative and quantitative consumer research strategies (including formative research studies and methodological tests) to improve information systems that serve CMS audiences. CMS implements human-centered methods and activities for the improvement of policies, services, and products. As information systems and technologies are developed or improved upon, they can be tested and evaluated for end-user feedback regarding utility, usability, and desirability. The overall goal is to apply a human-centered engagement model to maximize the extent to which CMS CIPST product teams can gather ongoing feedback from consumers. Feedback helps engineers and designers arrive at better solutions, therefore minimizing the burden on consumers and meeting their needs and goals.

The latest form for Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706) expires 2027-07-31 and is listed under ICR 202405-0938-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10896 CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896)Form and Instruction
Form CMS-10886 CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886)Form and Instruction
Form CMS-10800 Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised)Form and Instruction
Form CMS-10871 Hospital Quality Reporting User Language Card Sort (CMS-10871)Form and Instruction
Form CMS-10817 Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised)Form and Instruction
Form CMS-10838 QPP Submissions Intercept Survey (CMS-10838)Form and Instruction
Form CMS-10832 Chat/CCSQ Support Central – Basic information questions (CMS-10832)Form and Instruction
Form CMS-10833 Customer Effort Scoring - Surveys (CMS-10833)Form and Instruction
Form CMS-10818 Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818)Form and Instruction
Form CMS-10810 Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810)Form and Instruction
Form CMS-10808 Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808)Form and Instruction
Form CMS-10804 Quality Payment Program Site Intercept Survey (CMS-10804)Form and Instruction
CMS-10706 Template_CCSQ Generic Clearance_07192021_clean copy.docx Supplementary Document
CMS-10706_SuppStmt_Part B_final 2-22-24 .docxSupporting Statement B
CMS-10706_SuppStmt_Part A_FINAL-2024-02-22.docxSupporting Statement A
CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896) Form and Instruction
CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886) Form and Instruction
Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised) Form and Instruction
Hospital Quality Reporting User Language Card Sort (CMS-10871) Form and Instruction
Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised) Form and Instruction
QPP Submissions Intercept Survey (CMS-10838) Form and Instruction
Chat/CCSQ Support Central – Basic information questions (CMS-10832) Form and Instruction
Customer Effort Scoring - Surveys (CMS-10833) Form and Instruction
Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818) Form and Instruction
Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810) Form and Instruction
Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808) Form and Instruction
Quality Payment Program Site Intercept Survey (CMS-10804) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202405-0938-010 Extension without change of a currently approved collection 2024-05-09 Approved without change
202009-0938-002 New collection (Request for a new OMB Control Number) 2020-09-11 Approved with change

OMB Details

Quality Payment Program Site Intercept Survey (CMS-10804)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-10804QPP Site Intercept SurveyFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.