OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Electronic Health Record Incentive Program-Stage 3 (CMS-10552)

ICR 201504-0938-008 · OMB 0938-1278 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
CMS-10552.Supporting Statement Part A.docx Supporting Statement A Uploaded 2015-04-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
216085 ?495.316 – Quarterly Reporting New
216084 ?495.210 –Attestation on behalf of MA EPs New
216083 ?495.210 - Gather information for attestation (MA EPs) New
216082 ?495.6 Objectives/Measures (hospitals/CAHs) New
216075 ? 495.x-Objectives/Measures (EPs) New
ICR Details
0938-1278 201504-0938-008
Historical Inactive
HHS/CMS
Electronic Health Record Incentive Program-Stage 3 (CMS-10552)
New collection (Request for a new OMB Control Number)   No
Regular
Comment filed on proposed rule 05/27/2015
Retrieve Notice of Action (NOA) 04/17/2015
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0
The Centers for Medicare and Medicaid Services is requesting approval to collect information from eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) in order to implement requirements under Stage 3 of the Medicare and Medicaid EHR Incentive Programs.
PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
   PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
  
PL: Pub.L. 111 - 5 Title IV of Division B Name of Law: The American Recovery and Reinvestment Act of 2009
PL: Pub.L. 111 - 5 Title XIII of Division A Name of Law: The American Recovery and Reinvestment Act of 2009
0938-AS26 Proposed rulemaking 80 FR 16732 03/30/2015
No
No
No
This is a new information collection request.
$10,000,000
No
No
No
No
Yes
Uncollected
William Parham 4107864669
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/17/2015