Information Collection

Physician Quality Reporting Initiative

IC 187959 under ICR 201008-0938-010 · OMB 0938-1059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1059 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10276 Physician Quality Reporting Initiative	Form and Instruction
CMS-10276 2008 PQRI Measure Specifications 2008PQRIMeasureSpecifications123107.pdf	Form and Instruction

IC Title:

Physician Quality Reporting Initiative

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10276	2008 PQRI Measure Specifications	2008PQRIMeasureSpecifications123107.pdf		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 101,000

Number of Respondents for Small Entity: 101,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-8,787,000	8,787,000
Annual IC Time Burden (Hours)	-1,125,935	1,125,935
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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