?414.1330 and §414.1335 Claims Submission Mechanism

(CMS-10621) Merit-based Incentive Payment System

OMB: 0938-1314

IC ID: 221777

Information Collection (IC) Details

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§414.1330 and §414.1335 Claims Submission Mechanism
 
No New
 
Mandatory
 
42 CFR 414.1330 and 414.1335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10621 List of Quality Performance Category Measures MIPS PRA Appendix A- List of Quality Performance Category Measures.docx Yes Yes Fillable Fileable

Health Health Care Services

 

299,169 299,169
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 299,169 0 299,169 0 0 0
Annual IC Time Burden (Hours) 5,325,208 0 5,325,208 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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