Information Collection Request

Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project (CMS-10209)

ICR 201711-0938-009 · OMB 0938-1023 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10209 CCIP Attestation Form New Available
CMS-10209 - Supporting Statement A [rev 11-28-2017 by OSORA PRA].docx Supporting Statement A Uploaded 2017-11-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
229160 CCIP Attestation Form New
179877 Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved 07/31/2017
0 0 1,904
0 0 28,560
0 0 0







Reginfo record details
  No