Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695)

ICR 202408-0938-002

OMB: 0938-1399

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10899 Quality Payment Program MVP Registration Feedback Survey (CMS-10899) Form and Instruction	New
Form CMS-10898 Non-participating Small and Solo Practice Survey (CMS-10898) Form and Instruction	New
Form CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) Form and Instruction	New
Form CMS-10860 Quality Payment Program Annual Performance Feedback Survey (CMS-10860) Form and Instruction	New
Form CMS-10807 Quality Payment Program User Panel Registration Form (CMS-10807) Form and Instruction	New
CMS-10695 MIPS Survey Supporting Statement A_8-8-24.docx Supporting Statement A	2024-08-09
CMS-10695 Supporting Statement Part B Research.docx Supporting Statement B	2024-08-01

IC Document Collections

IC ID	Document Title	Status
270007	Quality Payment Program MVP Registration Feedback Survey (CMS-10899) Form and Instruction	New
270006	Non-participating Small and Solo Practice Survey (CMS-10898) Form and Instruction	New
270004	QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) Form and Instruction	New
270000	Quality Payment Program Annual Performance Feedback Survey (CMS-10860) Form and Instruction	New
269959	Quality Payment Program User Panel Registration Form (CMS-10807) Form and Instruction	New