Information Collection Request
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
ICR 202405-0938-001 · 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⚠️ Notice: This information collection may be outdated.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 Program |
Form | Modified | Missing upstream |
 CMS-10432.SupportingStatementPartA (CMS-1806-P rule).docx |
Supporting Statement A | Uploaded 2024-05-02 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 202349 |  Inpatient Psychiatric Facility Quality Reporting Program |
Form | 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 | 202310-0938-003 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |