(Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)

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

OMB: 0938-1314

IC ID: 221779

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(Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11)
 
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

Health Health Care Services

 

81,981 81,981
   
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 81,981 0 0 -25,236 0 107,217
Annual IC Time Burden (Hours) 744,633 0 0 -229,219 0 973,852
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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