(Quality Performance Category) eCQM Collection Type (see SS-A Table 12)

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

OMB: 0938-1314

IC ID: 221780

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Document Type
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Information Collection (IC) Details

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(Quality Performance Category) eCQM Collection Type (see SS-A Table 12)
 
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

 

51,861 51,861
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 51,861 0 0 -2,357 0 54,218
Annual IC Time Burden (Hours) 414,888 0 0 -73,074 0 487,962
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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