Information Collection

QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862)

IC 270004 under ICR 202408-0938-002 · OMB 0938-1399.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862)	Form and Instruction
CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey CMS-10862 QPP MIPS Post Webinar Presentation Satisfaction Survey.docx	Form and Instruction
CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey CMS-10862 QPP MIPS Post Webinar Presentation Satisfaction Survey.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10862	QPP/MIPS Post Webinar Presentation Satisfaction Survey	CMS-10862 QPP MIPS Post Webinar Presentation Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.