Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250

Forms and Documents

Document Name	Status
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements (Data collection) Form and Instruction	Modified
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified
OASIS-C1 Changes_Overview_Burden_11 20 12 FINAL.doc Supplementary Document	2012-11-29
CMS-R-245.Supporting Statement Part A.doc Supporting Statement A	2012-06-05

IC Document Collections

IC ID	Document Title	Status
43666	Medicare and Medicaid Programs OASIS Collection Requirements (Data collection) Form and Instruction	Modified
180130	Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified

ICR Details

OMB Control No: 0938-0760	ICR Reference No: 201206-0938-001
Status: Historical Active	Previous ICR Reference No: 201105-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/11/2012
	Date Received in OIRA: 06/08/2012
Terms of Clearance: As explained via memo, CMS is intending to remove certain elements from the next submission of the OASIS collection in order to reduce reporting burden without compromising the quality of the information to be collected.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	36 Months From Approved	12/31/2012
Responses	16,483,830	0	14,960,070
Time Burden (Hours)	16,567,968	0	15,590,610
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for extension of OMB PRA approval of the Outcome and Assessment Information Set (OASIS-C) data set. This data set is currently mandated for use by Home Health Agencies (HHAs) as a condition of participation (CoP) in the Medicare program. There are no proposed revisions to the OASIS-C data set. The current OMB PRA approval of the OASIS-C data set will expire on July 31, 2012. Since 1999, the Medicare CoPs have mandated that HHAs use the OASIS data set when evaluating adult, non-maternity patients receiving skilled services. The OASIS is a core standard assessment data set that agencies integrate into their own patient-specific, comprehensive assessment to identify each patient's need for home care that meets the patient's medical, nursing, rehabilitative, social, and discharge planning needs. There are several statutory foundations for the OASIS-C. These include, but are not limited to, the following: 1. 42 CFR §484.200 - §484.265 (Specifically §42 CFR § 484.55), 2. §1895 (b)(3)(B)(v)(I) of the Social Security Act; 3. §1895 (b)(3)(B)(v)(II) of the Social Security Act; 4. Sections 4602 and 4603 of the Balanced Budget Act

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Authorizing Statute(s): US Code: 42 USC 1395x Name of Law: DEFINITIONS OF SERVICES, INSTITUTIONS, ETC; Home Health Agency
   PL: Pub.L. 109 - 171 5201(c)(2) Name of Law: Deficit Reduction Act of 2005: Home health - pay for reporting of quality information
   PL: Pub.L. 105 - 33 4601(e) Name of Law: Balanced Budget Act of 1997 (authority for collecting data required for casemix system)
   US Code: 42 USC 1395bbb Name of Law: Conditions of participation for home health agencies; home health quality
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 14806	12/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 78264	03/13/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Medicare and Medicaid Programs OASIS Collection Requirements (Data collection)	CMS-R-245	OASIS-C
Medicare and Medicaid Programs OASIS Collection Requirements (Training)	CMS-R-245	OASIS-C

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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	16,483,830	14,960,070	0	0	1,523,760	0
Annual Time Burden (Hours)	16,567,968	15,590,610	0	0	977,358	0
Annual Cost Burden (Dollars)	0	0	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: $1,500,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 06/08/2012

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