Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777)

ICR 202506-0938-010

OMB: 0938-1402

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2025-06-23
ICR Details
0938-1402 202506-0938-010
Received in OIRA 202106-0938-016
HHS/CMS CCSQ
Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777)
Reinstatement with change of a previously approved collection   No
Regular 06/24/2025
  Requested Previously Approved
36 Months From Approved
16,569 0
75,721 0
0 0

During the COVID-19 Public Health Emergency (PHE), individuals residing in congregate settings, such as ICFs-IID and Long-Term Care (LTC) facilities were at greater risk of acquiring COVID-19 infections and once infected, were at greater risk of severe illness or death. As a result, the Centers for Medicare and Medicaid Services (CMS) revised the Conditions of Participation (CoPs) for many of CMS’ certified providers including hospitals and institutional care settings in order to reduce the risk of exposure to and the severity from contracting the COVID-19 virus for medical and non-medical staff and patients. In addition to the CoPs, health care facilities were obligated to establish an infection control program that would protect the health and safety of residents, personnel, and the general public under Sections 1819(d)(3)(B) and 1919(d)(3) of the Act. Individuals housed at ICFs-IID facilities are mentally and intellectually impaired, receive Medicaid assistance, and live in congregate settings. ICF-IID clients may also have other underlying medical conditions such as visual or hearing impairments, or seizure disorder. Based on their living situation and underlying health conditions, these clients were at higher risk of exposure and severe consequences from COVID-19 and continue to be at higher risk due to new variants of COVID-19 and other similar acute respiratory illnesses.

US Code: 42 USC 1396d Name of Law: Social Security Act
  
None

Not associated with rulemaking

  90 FR 3220 01/14/2025
90 FR 25616 06/17/2025
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 16,569 0 0 -747 0 17,316
Annual Time Burden (Hours) 75,721 0 0 -38,757 0 114,478
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The annual burden to industry decreased from 114,478 hours to 75,721 hours. The decrease in burden hours is primarily due to the elimination of the CoP at Section 483.430(f) requiring ICFs-IID to document the “educate and offer of the COVID-19 vaccine” task for every staff member. A small portion of the decrease is also due to an overcount of hours in the prior package for Year 1 in Information Collection No. 3, discussed in detail in footnote 12.

$5,045,112
No
    No
    No
No
No
No
Yes
Denise King 410 786-1013 Denise.King@cms.hhs.gov

  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.
06/24/2025


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