(Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14)

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

OMB: 0938-1314

IC ID: 227505

Information Collection (IC) Details

View Information Collection (IC)

(Quality Performance Category) Group Registration for CMS Web Interface (see SS-A Table 14)
 
No Modified
 
Mandatory
 
42 CFR 414.1330 and 414.1335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix F 2019 CAHPS and WI Registration Guide.docx Yes Yes Fillable Fileable

Health Health Care Services

Quality Payment Program (QPP), System No. 09–70– 0539  83 FR 6587

69 69
   
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 69 0 2 0 0 67
Annual IC Time Burden (Hours) 17 0 0 0 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk Appendix G 2019 CAHPS and WI Registration Guide Crosswalk.docx 11/22/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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