414.1330 (Quality Performance Category) Call for Measures

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

OMB: 0938-1314

IC ID: 229086

Information Collection (IC) Details

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414.1330 (Quality Performance Category) Call for Measures
 
No New
 
Mandatory
 
42 CFR 414.1330

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10621 Data Template for Candidate Measures Appendix G JIRA-MUC-Template-Blank_2017 v2.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

40 40
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 40 0 40 0 0 0
Annual IC Time Burden (Hours) 20 0 20 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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