Medicare Care Management Performance Demonstration (MCMP) Standardized Ambulatory Care Quality Measure Collection Initiative

Medicare Care Management Performance Demonstration (MCMP) Standardized Ambulatory Care Quality Measure Collection Initiative

OMB: 0938-0941

IC ID: 8792

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Information Collection (IC) Details

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Medicare Care Management Performance Demonstration (MCMP) Standardized Ambulatory Care Quality Measure Collection Initiative
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10136 Yes Yes


    

800 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 800 0 800 0 0 0
Annual IC Time Burden (Hours) 15,200 0 15,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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