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Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0938-1399 · HHS/CMS.

OMB 0938-1399

This generic clearance is for a program of survey and feedback collections supporting the Quality Payment Program which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (AAPMs). This clearance is necessary to enable CMS to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improve quality and reduce complexity and burden. The information collected from MIPS eligible clinicians, third-party intermediaries, Medicare beneficiaries, and any other audiences that would support CMS in improving MIPS or the Quality Payment Program will help ensure that all stakeholders have an effective and efficient experience. This feedback will help improve user experience, assess methods for simplifying participation including data submission, improve and enhance the utility of web-based tools, and increase the effectiveness of communication with stakeholders.

The latest form for Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695) expires 2027-11-30 and is listed under ICR 202408-0938-002.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10969 2026 Resource Library Assistant User Feedback Survey (document unavailable)Form and Instruction
Form CMS-10933R MVP Adoption Survey (document unavailable)Form and Instruction
Form CMS-10860 Revision PY25 QPP Feedback Survey Guide (document unavailable)Form and Instruction
Form CMS-10850 Revised QPP Submissions Experience Survey (document unavailable)Form and Instruction
Form CMS-10860 QPP Feedback Survey (document unavailable)Form and Instruction
Form CMS-10933 MVP Adoption Survey (document unavailable)Form and Instruction
Form CMS-10925 QPP Participation and Performance Resource Page Intercept Survey (document unavailable)Form and Instruction
Form CMS-10807 revised QPP User Panel Registration Form (document unavailable)Form and Instruction
Form CmS-10921 Electronic Prescribing of Controlled Substances Intercept Survey (document unavailable)Form and Instruction
Form CMS-10850 QPP Submissions Experience Survey (document unavailable)Form and Instruction
Form CMS-10917 QPP Web Content Generic Intercept Survey (document unavailable)Form and Instruction
Form CMS-10899 QPP MVP Registration SurveyForm and Instruction
Form CMS-10899 Quality Payment Program MVP Registration Feedback Survey (CMS-10899)Form and Instruction
Form CMS-10898 Non-participating Small and Solo Practices SurveyForm and Instruction
Form CMS-10898 Non-participating Small and Solo Practice Survey (CMS-10898)Form and Instruction
Form CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction SurveyForm and Instruction
Form CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862)Form and Instruction
Form CMS-10860 QPP Feedback SurveyForm and Instruction
Form CMS-10860 Quality Payment Program Annual Performance Feedback Survey (CMS-10860)Form and Instruction
Form CMS-10807 QPP User Panel Registration FormForm and Instruction
Form CMS-10807 Quality Payment Program User Panel Registration Form (CMS-10807)Form and Instruction
CMS-10695 MIPS Survey Supporting Statement A_8-8-24.docxSupporting Statement A
CMS-10695 Supporting Statement Part B Research.docxSupporting Statement B
CMS-10695 Supporting Statement Part B Research.docxSupporting Statement B
2026 Resource Library Assistant User Feedback Survey (CMS-10969) Form and Instruction
MVP Adoption Survey (CMS-10933Revised) Form and Instruction
PY25 QPP Annual Performance Feedback Survey (CMS-10860 Revision 2) Form and Instruction
PY25 QPP Submissions Experience Survey (CMS-10850) Revised Form and Instruction
Quality Payment Program Annual Performance Feedback Survey (CMS-10860 revised) Form and Instruction
MVP Adoption Survey (CMS-10933) Form and Instruction
QPP Participation and Performance Resource Page Intercept Survey (CMS-10925) Form and Instruction
Quality Payment Program User Panel Registration Form (CMS-10807 revised)) Form and Instruction
CMS Electronic Prescribing of Controlled Substances Intercept Survey Intercept Survey (CMS-10921) Form and Instruction
PY24 QPP Submissions Experience Survey (CMS-10850) Form and Instruction
QPP Web Content Generic Intercept Survey (CMS-10917) Form and Instruction
Quality Payment Program MVP Registration Feedback Survey (CMS-10899) Form and Instruction
Quality Payment Program MVP Registration Feedback Survey (CMS-10899) Form and Instruction
Non-participating Small and Solo Practice Survey (CMS-10898) Form and Instruction
Non-participating Small and Solo Practice Survey (CMS-10898) Form and Instruction
QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) Form and Instruction
QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) Form and Instruction
Quality Payment Program Annual Performance Feedback Survey (CMS-10860) Form and Instruction
Quality Payment Program Annual Performance Feedback Survey (CMS-10860) Form and Instruction
Quality Payment Program User Panel Registration Form (CMS-10807) Form and Instruction
Quality Payment Program User Panel Registration Form (CMS-10807) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202408-0938-002 Revision of a currently approved collection 2024-08-12
202006-0938-020 New collection (Request for a new OMB Control Number) 2020-07-01 Approved with change

OMB Details

Quality Payment Program User Panel Registration Form (CMS-10807)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-10807QPP User Panel Registration FormFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.