Application To Be a Qualified Entity to Receive Medicare Data for Performance Measurement / Reapplication / Annual Report Worksheet (CMS-10394)

ICR 202404-0938-006

OMB: 0938-1144

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10394 QECP Application, Reapplication, DUA and ARW Form and Instruction	Modified
QECP-SUPP-PRAIns-Chngs-V2.docx Supplementary Document	2024-04-08
CMS-10394-QECP-SpprtgStmnt.docx Supporting Statement A	2024-04-08

IC Document Collections

IC ID	Document Title	Status
198017	QECP Application, Reapplication, DUA and ARW Form and Instruction	Modified