Information Collection

?414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism

IC 221779 under ICR 201707-0938-006 · OMB 0938-1314.

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Information Collection (IC) Details

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IC Title:	§414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR §414.1330 and §414.1335 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88,501	Number of Respondents for Small Entity: 88,501

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	88,501	-2,249	-31,129	121,879
Annual IC Time Burden (Hours)	803,855	-20,427	-526,503	1,350,785
Annual IC Cost Burden (Dollars)	0	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.