Information Collection Request
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
ICR 202304-0938-013 · OMB 0938-1171 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1171 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10432 Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program |
Form and Instruction | Modified | Repair queued |
 CMS-10432 - Supporting Statement A (CMS-1783-P version 6).docx |
Supporting Statement A | Uploaded 2023-07-06 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 202349 |  Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1171 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202108-0938-014 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |