Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

ICR 202301-0938-017

OMB: 0938-1314

Federal Form Document

Forms and Documents

Document Name	Status
Form Appendix A CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary Form and Instruction	Modified
CMS-10621 - Supporting Statement A (CMS-1770-F Version 2).docx Supporting Statement A	2023-01-25
Comment Response Document.docx Supplementary Document	2023-01-25
CMS-10621-Supporting Statement B (CMS-1770-F)Version1_clean[1].docx Supporting Statement B	2023-01-25

IC Document Collections

IC ID	Document Title	Status
250664	CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary Form and Instruction	Modified
250662	CY 2022 Performance Period/2024 MIPS Payment Year Burden Summary Other-Appendix A1 (See Table 3): 2022 Qualified Registry Fact Sh	Removed