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GPRO Web Interface Reporting Mechanism (Group Practices)
Physician Quality Reporting System (PQRS) (CMS-10276)
OMB: 0938-1059
IC ID: 201580
OMB.report
HHS/CMS
OMB 0938-1059
ICR 201507-0938-008
IC 201580
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1059 can be found here:
2016-03-23 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
2015_PQRS_ImplementationGuide.pdf
Instruction
2015_PQRS_MAV_ProcessforRegistryBasedReporting_01152015.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
GPRO Web Interface Reporting Mechanism (Group Practices)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
2015_PQRS_ImplementationGuide.pdf
Yes
Yes
Printable Only
Instruction
2015_PQRS_MAV_ProcessforRegistryBasedReporting_01152015.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
500
Number of Respondents for Small Entity:
200
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
500
0
300
0
0
200
Annual IC Time Burden (Hours)
42,500
0
25,500
0
0
17,000
Annual IC Cost Burden (Dollars)
0
0
0
0
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.