QPP Identity Management Application Process (see SS-A Table 9)

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

OMB: 0938-1314

IC ID: 233581

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QPP Identity Management Application Process (see SS-A Table 9)
 
No Modified
 
Mandatory
 
42 CFR 414.1335 42 CFR 414.1325

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

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

3,741 3,741
   
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 3,741 0 0 0 0 3,741
Annual IC Time Burden (Hours) 3,741 0 0 0 0 3,741
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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