Information Collection

Registry-based and Qualified Clinical Data Registry-based Reporting Mechanisms (Eligible Professionals Participating Individually or as Part of a Group Practice)

IC 211745 under ICR 201507-0938-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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
2015_PQRS_ImplementationGuide.pdf Instruction
2015_PQRS_MAV_ProcessforRegistryBasedReporting_01152015.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Registry-based and Qualified Clinical Data Registry-based Reporting Mechanisms (Eligible Professionals Participating Individually or as Part of a Group Practice)	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

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: 212,000	Number of Respondents for Small Entity: 50,000

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	212,000	47,000	165,000
Annual IC Time Burden (Hours)	1,713,596	379,901	1,333,695
Annual IC Cost Burden (Dollars)	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.