Information Collection

EHR-based Reporting Mechanism (Eligible Professionals Participating Individually or as Part of a Group Practice)

IC 211746 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⚠️ Notice: This information collection may be referencing outdated material.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:	EHR-based Reporting Mechanism (Eligible Professionals Participating Individually or as Part of a Group Practice)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 414.92 42 CFR 414.90

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: 50,000	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	Previously Approved
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	450,000	450,000
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.