Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA) (CMS-10539)

ICR 202509-0938-018

OMB: 0938-1299

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2025-09-23
Supporting Statement A
2025-09-23
IC Document Collections
IC ID
Document
Title
Status
277699
New
277697
New
245366
Modified
229393
Modified
229392
Removed
229391
Removed
229390
Modified
229389
Removed
217414
Removed
217412
Modified
217411
Modified
217410
Modified
217408
Modified
217407
Modified
217406
Modified
217404
Modified
217403
Modified
217401
Removed
217400
Modified
217396
Removed
ICR Details
0938-1299 202509-0938-018
Received in OIRA 202101-0938-006
HHS/CMS CCSQ
Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA) (CMS-10539)
Reinstatement with change of a previously approved collection   No
Regular 09/24/2025
  Requested Previously Approved
36 Months From Approved
3,470,272 0
868,218 0
0 0

Home health agencies are required to maintain certain documentation within their own agency records that demonstrates compliance with specific Conditions of Participation for the Medicare program. This documentation is maintained on-site for use in the home health agency survey process.

PL: Pub.L. 101 - 239 6005(b) Name of Law: Omnibus Reconciliation Act of 1989
   US Code: 42 USC 1395X Name of Law: Social Security Act
  
None

Not associated with rulemaking

  89 FR 79929 10/01/2024
90 FR 34276 07/21/2025
Yes

  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 3,470,272 0 0 0 -54,320,466 57,790,738
Annual Time Burden (Hours) 868,218 0 0 0 -6,525,848 7,394,066
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The currently approved information collection estimated the total annual burden hours to be 7,394,066 hours. We revise this to 868,218 hours a decrease of -6,524,066. The reduction is largely due to removing the one-time burden estimates that no longer apply.

$0
No
    No
    No
No
No
No
No
Jamaa Hill 301 492-4190

  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.
09/24/2025


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