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 QECP Annual Report Workbook 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 NewQECP Annual Report Workbook
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
0 0 0
0 0 0
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IC Title Form No. Form Name
DUA and non-public analyses agreement Development
Legal Review
Processing and Maintenance
Reporting CMS-10589



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