Information Collection Request

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

ICR 201902-0938-001 · OMB 0938-1297 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10620 2020 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction New Available
Form CMS-10713 LAN Summit – Total Event Evaluations (CMS-10713) Form and Instruction New Available
Form CMS-10702 LAN Summit Registration Form (CMS-10702) Form and Instruction New Repair queued
Form CMS-10620 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction New Available
CMS-10575 Supporting Statement Part B - final 11.15.2018.docx Supporting Statement B Uploaded 2019-02-01 Available
CMS-10575 Supporting Statement Part A - final 11.15.2018.docx Supporting Statement A Uploaded 2019-02-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240101 2020 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction New
237472 LAN Summit – Total Event Evaluations (CMS-10713) Form and Instruction New
236069 LAN Summit Registration Form (CMS-10702) Form and Instruction New
235746 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2022 36 Months From Approved 03/31/2019
23,110 0 48,440
25,917 0 49,400
0 0 0





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 23,110 48,440 0 0 -25,330 0
Annual Time Burden (Hours) 25,917 49,400 0 0 -23,483 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No