?414.1400 QCDR and qualified registry self nomination

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

OMB: 0938-1314

IC ID: 221782

Information Collection (IC) Details

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§414.1400 QCDR and qualified registry self nomination
 
No Modified
 
Mandatory
 
42 CFR §414.1400  (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

Health Health Care Services

 

233 233
   
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 233 0 50 0 0 183
Annual IC Time Burden (Hours) 2,330 0 500 0 0 1,830
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Qualified Registry Self Nomination Fact Sheet Appendix A_QPP_Qualified_Registry_Self-Nomination_Fact_Sheet.pdf 07/13/2017
QCDR Self Nomination Fact Sheet Appendix B_QPP_QCDR_Self-Nomination_Fact_Sheet.pdf 07/13/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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