Information Collection

2023 > (Improvement Activities Performance Category) Data Submission (see SS-A Table 26)

IC 221785 under ICR 202107-0938-013 · OMB 0938-1314.

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Information Collection (IC) Details

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IC Title:	2023 > (Improvement Activities Performance Category) Data Submission (see SS-A Table 26)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 414.1360

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: 81,582	Number of Respondents for Small Entity: 79,927

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	81,582	1,655	79,927
Annual IC Time Burden (Hours)	6,771	110	6,661
Annual IC Cost Burden (Dollars)	0	0	0

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