Information Collection Request

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

ICR 202202-0938-003 · OMB 0938-1297 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10713 LAN Summit - Total Event Evaluations (CMS-10713) Form and Instruction New Available
Form CMS-10702 LAN Summit - Registration Form (CMS-10702) Form and Instruction New Repair queued
Form CMS-10620 Tracking the adoption of alternative payment models (CMS-10620) 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 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256577 LAN Summit - Total Event Evaluations (CMS-10713) Form and Instruction New
256576 LAN Summit - Registration Form (CMS-10702) Form and Instruction New
255474 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2022
23,110 23,110
26,467 25,917
0 0






table that charts list of burden
  Total Request 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 23,110 23,110 0 0 0 0
Annual Time Burden (Hours) 26,467 25,917 0 0 550 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No