Information Collection

2021 > (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)

IC 221781 under ICR 202111-0938-001 · OMB 0938-1314.

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Information Collection (IC) Details

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IC Title:	2021 > (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 414.1330 and 414.1335

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: 111	Number of Respondents for Small Entity: 104

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

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-111	111
Annual IC Time Burden (Hours)	-6,845	6,845
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.