Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool (PAT) - MCMP Demonstration

Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool ("PAT")

OMB: 0938-0941

IC ID: 8793

Information Collection (IC) Details

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Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool (PAT) - MCMP Demonstration
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10136 MCMP PAT MCMP PAT Screenshots 052508(B).ppt Yes Yes Paper Only

Health Health Care Services

Demonstration, Evaluation and Research Studies (DERS)  72 FR 17918

650 650
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 650 0 0 0 0 650
Annual IC Time Burden (Hours) 15,600 0 0 0 0 15,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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