Collection of OASIS Data for Prospective Payment System Purposes and for Masking Data

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
8480	Collection of OASIS Data for Prospective Payment System Purposes and for Masking Data Form	Migrated

ICR Details

OMB Control No: 0938-0760	ICR Reference No: 200004-0938-002
Status: Historical Active	Previous ICR Reference No: 199912-0938-007
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Collection of OASIS Data for Prospective Payment System Purposes and for Masking Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/21/2000
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/03/2000
	Date Received in OIRA: 04/12/2000
Terms of Clearance: Pursuant to OMB's previous clearance remarks dated March 10,2000, this submission is approved through 9/30/2000 with one exception and additional comment. This submission is approved with the exception of HCFA's current policy regarding patients receiving only personal care services. OMB and HCFA had agreed to implement OASIS for this population in Spring 2000. However, HCFA has delayed implementation without OMB consultation. The next submission for OMB clearance must present HCFA's rationale for this delay and recommendations for further action. In addition, the next submission for OMB clearance must include a reassessment of the OASIS Privacy Act statement in the context of other home health patient disclosures under development such as the Home Health Beneficiary Notice. In particular, HCFA must consider adding another disclosure explaining the coverage and payment implications of providing or failing to provide OASIS data.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2000	09/30/2000	09/30/2000
Responses	8,200	0	8,200
Time Burden (Hours)	967,600	0	967,600
Cost Burden (Dollars)	25,780,000	0	25,780,000

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Abstract: We are requesting emergency clearance of our proposal to modify the currently approved OASIS HCFA R-245 A through HCFA R-245D for purposes of case mix adjusting patients under home health PPS. We are proposing that HCFA R-245A be revised to include a new therapy variable and to modify currently approved item MO170. We are requesting conforming changes be made to HCFA R-245B and that 3 currently approved OASIS items currently collected on HCFA R-245A be added to HCFA R-245B. This will facilitate the production of necessary case mix information at relevant time points in the patients home health stay. We are...

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Collection of OASIS Data for Prospective Payment System Purposes and for Masking Data	HCFA-R-245

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ICR Summary of Burden

	Total Approved	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	8,200	8,200	0	0	0	0
Annual Time Burden (Hours)	967,600	967,600	0	0	0	0
Annual Cost Burden (Dollars)	25,780,000	25,780,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/12/2000

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