Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool (PAT) - MCMP Demonstration Modified 650 15600 0 Form and Instruction CMS-10136 MCMP PAT
Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool (PAT) - PGP Demonstration Modified 10 790 0 Form and Instruction CMS-10136 MCMP PAT
Medicare Demonstration Ambulatory Care Quality Measure Performance Assessment Tool (PAT) -EHR Demonstration Modified 400 9600 0 Form and Instruction CMS-10136 MCMP PAT
Total burden requested under this ICR: 1060 25990 0  
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