?414.1330 and §414.1335 Claims Submission Mechanism

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

OMB: 0938-1314

IC ID: 221777

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§414.1330 and §414.1335 Claims Submission Mechanism
 
No Modified
 
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

Health Health Care Services

 

364,002 364,002
   
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 364,002 0 7,985 23,288 0 332,729
Annual IC Time Burden (Hours) 6,479,236 0 142,133 81,798 0 6,255,305
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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