?414.1330 and §414.1335 CMS Web Interface Submission Mechanism

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

OMB: 0938-1314

IC ID: 221781

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

§414.1330 and §414.1335 CMS Web Interface Submission Mechanism
 
No Modified
 
Mandatory
 
42 CFR §414.1330 and §414.1335  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix C_2018_QPP_Web_Interface_Registration.docx Yes Yes Fillable Fileable

Health Health Care Services

 

298 298
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 298 0 0 -452 0 750
Annual IC Time Burden (Hours) 22,052 0 0 -38,247 0 60,299
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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