Information Collection

2022 >> (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28)

IC 245882 under ICR 202101-0938-003 · OMB 0938-1314.

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Information Collection (IC) Details

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IC Title:	2022 >> (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 414.1395

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Quality Payment Program (QPP), System No. 09â70â 0539	FR Citation: 83 FR 6587

Number of Respondents: 3,486	Number of Respondents for Small Entity: 3,486

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,486	3,486
Annual IC Time Burden (Hours)	872	872
Annual IC Cost Burden (Dollars)	0	0

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