Information Collection Request

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

ICR 201812-0938-013 · OMB 0938-1314 · Historical Active

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233582 Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 26) Form Modified
233581 QPP Identity Management Application Process (see SS-A Table 9) Modified
229086 (Quality Performance Category) Call for Quality Measures (see SS-A Table 15) Form and Instruction Modified
229075 Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 25) Form Modified
229074 (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19) Form and Instruction Modified
227511 (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 27) Modified
227509 Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 24) Form and Instruction Modified
227507 (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22) Form Modified
227506 (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16) Modified
227505 (Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14) Instruction Modified
221786 Partial Qualifying APM Participant (QP) Election (see SS-A Table 23) Modified
221785 (Improvement Activities Performance Category) Data Submission (see SS-A Table 21) Modified
221784 (PI Performance Category) Data Submission (see SS-A Table 18) Modified
221782 Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) Instruction Modified
221781 (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13) Modified
221780 (Quality Performance Category) eCQM Collection Type (see SS-A Table 12) Modified
221779 (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11) Modified
221777 (Quality Performance Category) Claims Collection Type (see Table SS-A 10) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2022 36 Months From Approved 03/31/2020
644,144 0 1,161,681
5,109,042 0 7,559,375
0 0 0





Reginfo record details
18
table that charts list of burden
IC Title Form No. Form Name
(PI Performance Category) Data Submission (see SS-A Table 18)
(Improvement Activities Performance Category) Data Submission (see SS-A Table 21)
Partial Qualifying APM Participant (QP) Election (see SS-A Table 23)
(PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16)
(Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 27)
(Quality Performance Category) Call for Quality Measures (see SS-A Table 15) CMS-10621 Data Template for Candidate Measures
Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 25) CMS-10621 Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 24) CMS-10621 Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
(Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
(Quality Performance Category) Claims Collection Type (see Table SS-A 10)
(Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
(Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)
(Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14)
(Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22) CMS-10621 Improvement Activities Performance Category: Call for Activities Submission Form
QPP Identity Management Application Process (see SS-A Table 9)
Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 26) CMS-10621 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
(PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19) CMS-10621 Promoting Interoperability Performance Category: Call for Measures Submission Form
Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 644,144 1,161,681 0 -26,017 -491,520 0
Annual Time Burden (Hours) 5,109,042 7,559,375 0 -35,968 -2,414,365 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No