Information Collection Request

Quality Bonus Payment Appeals (CMS-10346)

ICR 202401-0938-007 · OMB 0938-1129 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10346 Appeals of Quality Bonus Payment Determinations Form and Instruction Modified Repair queued
CMS-10346 - Supporting_Statement_A_QBP 2023.docx Supporting Statement A Uploaded 2024-01-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195883 Appeals of Quality Bonus Payment Determinations Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1129
Extension without change of a currently approved collection
202012-0938-011
CM-CPC
1969-12-31
1969-12-31