Information Collection Request

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

ICR 202202-0938-003 · OMB 0938-1297 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10620 CMS-10620.2024 APM National Data Collection Metrics Form and Instruction New Repair queued
Form CMS-10620 National Data Collection Metrics Form and Instruction New Repair queued
Form CMS-10713 Summit Evaluation Proposed Questions Form and Instruction New Available
Form CMS-10702 LAN Summit basic reg form Form and Instruction New Repair queued
Form CMS-10620 LAN Informational Questions Form and Instruction New Repair queued
Form CMS-10620 National Data Collection Metrics Form and Instruction New Available
Form CMS-10620 Informational Questions Form and Instruction New Available
CMS-10575 Supporting Statement Part B.docx Supporting Statement B Uploaded 2022-02-22 Repair queued
CMS-10575 Supporting Statement Part A.docx Supporting Statement A Uploaded 2022-02-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
268408 GenIC: Tracking the Adoption of Alternative Payment Models (2024) (CMS-10620) Form and Instruction NewCMS-10620.2024 APM National Data Collection Metrics
259235 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction NewNational Data Collection Metrics
256577 LAN Summit - Total Event Evaluations (CMS-10713) Form and Instruction NewSummit Evaluation Proposed Questions
256576 LAN Summit - Registration Form (CMS-10702) Form and Instruction NewLAN Summit basic reg form
255474 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction NewLAN Informational Questions
255474 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction NewNational Data Collection Metrics
255474 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction NewInformational Questions

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2025 36 Months From Approved 08/31/2022
8,731 0 23,110
10,001 0 25,917
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
GenIC: Tracking the Adoption of Alternative Payment Models (2024) (CMS-10620) CMS-10620
LAN Summit - Registration Form (CMS-10702) CMS-10702
LAN Summit - Total Event Evaluations (CMS-10713) CMS-10713
Tracking the adoption of alternative payment models (CMS-10620) CMS-10620, CMS-10620, CMS-10620 ,   ,  
Tracking the adoption of alternative payment models (CMS-10620) CMS-10620

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,731 23,110 0 0 -14,379 0
Annual Time Burden (Hours) 10,001 25,917 0 0 -15,916 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No