Information Collection

Claims-based Reporting Mechanism (Eligible Professionals)

IC 211744 under ICR 201405-0938-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
2014_PQRS_ImplementationGuide_022714.pdf Instruction
2014_PQRS_MeasuresList_01232014.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claims-based Reporting Mechanism (Eligible Professionals)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 414.90 42 CFR 414.92

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2014_PQRS_ImplementationGuide_022714.pdf		Yes	Yes	Printable Only
Instruction			2014_PQRS_MeasuresList_01232014.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Performance Measurement and Reporting System	FR Citation: 72 FR 52133

Number of Respondents: 230,000	Number of Respondents for Small Entity: 230,000

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	230,000	230,000
Annual IC Time Burden (Hours)	1,201,543	1,201,543
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.