Quality Payment Program MVP Registration Feedback Survey (CMS-10899)

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

OMB: 0938-1399

IC ID: 270007

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
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Quality Payment Program MVP Registration Feedback Survey (CMS-10899)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10899 QPP MVP Registration Survey CMS-10899 QPP MVP Registration Survey Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10899 Supporting Statement CMS-10899 2024 MVP Registraton Survey Supporting Statement.docx 08/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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