OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program (CMS-10668)

ICR 202605-0938-013 · OMB 0938-1352 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10668 CMS Hospital-Acquired Condition (HAC) Reduction Program Validation Review for Reconsideration Request Form and Instruction Modified Available
Form CMS-10668 Measure Exception Form for Healthcare-Associated Infection (HAI) Data Form and Instruction Modified Repair queued
Form CMS-10668 MRSA Validation Template Form and Instruction Modified Repair queued
Form CMS-10668 CLABSI Validation Template Form and Instruction Modified Available
Form CMS-10668 CDI Validation Template Form and Instruction Modified Repair queued
Form CMS-10668 Cauti Validation Template Form and Instruction Modified Repair queued
CMS-10668 HACRP-FY2027-Stmt-B_Final Clean.docx Supporting Statement B Uploaded 2026-05-20 Repair queued
CMS-10668 HACRP-FY2027-Stmt-A_Final Clean.docx Supporting Statement A Uploaded 2026-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedCMS Hospital-Acquired Condition (HAC) Reduction Program Validation Review for Reconsideration Request
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedMeasure Exception Form for Healthcare-Associated Infection (HAI) Data
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedMRSA Validation Template
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedCLABSI Validation Template
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedCDI Validation Template
231482 Hospital-Acquired Condition Reduction Program-NHSN HAI Measures Validation Form and Instruction ModifiedCauti Validation Template
ICR Details
0938-1352 202605-0938-013
Received in OIRA 202509-0938-011
HHS/CMS CCSQ
Quality Measures and Administrative Procedures for the Hospital-Acquired Condition Reduction Program (CMS-10668)
Revision of a currently approved collection   No
Regular 05/27/2026
  Requested Previously Approved
36 Months From Approved 02/28/2029
640 640
28,840 28,840
0 0
The HAC Reduction Program is established by section 1886(p) of the Social Security Act and requires the Secretary to reduce payments to subsection (d) hospitals in the worst-performing quartile of all subsection (d) hospitals by 1 percent effective beginning on October 1, 2014 and subsequent years. In the FY 2026 IPPS/LTCH PPS proposed rule, we are not proposing to adopt or remove any measures for the FY 2026 program year or subsequent years, we propose updates to the ECE policy.
PL: Pub.L. 111 - 148 3008 Name of Law: Affordable Care Act
  
PL: Pub.L. 111 - 148 3008 Name of Law: Affordable Care Act
0938-AV79 Proposed rulemaking 91 FR 19312 04/14/2026
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 640 640 0 0 0 0
Annual Time Burden (Hours) 28,840 28,840 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$7,769,147
No
    No
    No
Yes
No
No
No
Denise King 410 786-1013 [email protected]
  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.
05/27/2026