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Federal forms, ICRs, and supporting documents

Information Collection

Physician Group Practice (PGP) Standardized Ambulatory Care Quality Measure Collection Initiative

IC 8795 under ICR 200510-0938-015 · OMB 0938-0942.

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Information Collection (IC) Details

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Physician Group Practice (PGP) 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 CMS-10134 Yes Yes


    

10 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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 790 0 0 0 0 790
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.