Information Collection Request

QECP Annual Report Workbook Submission Requirement and QE DUA and Non-public Analyses Agreement Requirement for Qualified Entities under ACA Section 10332 and MACRA Section 105 (CMS-10589)

ICR 201602-0938-009 · OMB 0938-1309 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10589 Reporting Form and Instruction New Available
CMS-10589_Supporting Statement Part A.doc Supporting Statement A Uploaded 2016-02-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220190 Reporting Form and Instruction New
220188 Processing and Maintenance New
220186 Legal Review New
220185 DUA and non-public analyses agreement Development New

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
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table that charts list of burden
IC Title Form No. Form Name
Reporting CMS-10589 QECP Annual Report Workbook
DUA and non-public analyses agreement Development
Legal Review
Processing and Maintenance



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  No