Information Collection Request

Physician Quality Reporting Initiative

ICR 200902-0938-001 · OMB 0938-1059 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10276 Physician Quality Reporting Initiative Form and Instruction New Available
CMS-10276.Supporting Statement Part B.doc Supporting Statement B Uploaded 2009-01-22 Available
BR_PQRI2008DataAndAnalyticProcessing_tracked.doc Supplementary Document Uploaded 2009-01-22 Available
CMS-10276. Supporting Statement Part A-12-15-08.doc Supporting Statement A Uploaded 2009-01-22 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
187959 Physician Quality Reporting Initiative Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2010 36 Months From Approved
8,787,000 0 0
1,125,935 0 0
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Physician Quality Reporting Initiative CMS-10276 2008 PQRI Measure Specifications

table that charts list 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 8,787,000 0 0 0 0 8,787,000
Annual Time Burden (Hours) 1,125,935 0 0 0 0 1,125,935
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No