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Federal forms, ICRs, and supporting documents

Information Collection

Tracking the adoption of alternative payment models (CMS-10620)

IC 255474 under ICR 202202-0938-003 · OMB 0938-1297.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Tracking the adoption of alternative payment models (CMS-10620)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10620 Informational Questions 5. 2022 LAN Informational Questions.docx Yes Yes Fillable Printable
Form and Instruction CMS-10620 National Data Collection Metrics 6. 2022 APM National Data Collection Metrics_04192022.xlsx Yes Yes Fillable Printable
Form and Instruction CMS-10620 LAN Informational Questions 5. 2022 LAN Informational Questions.docx Yes Yes Fillable Printable

Health Health Care Services

 

50 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 50 0 0 0
Annual IC Time Burden (Hours) 1,350 0 1,350 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement 2. CMS-10620 GenIC - Supporting Statement - 4.1.2022.docx 08/22/2022
National APM Metric Overview 1. 2022 National APM Metric Overview_4.1.2022.docx 08/22/2022
APM-Measurement-FAQ 3. 2022 -APM-Measurement-FAQ_05.09.2022.docx 08/22/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.