Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures) Removed 0 0 0 Form CMS-10210 Cart Summary
Form CMS-10210 Oryx
Form CMS-10210 Qnet
Form CMS-10210 HIPAA Compliance
Form and Instruction CMS-10210 Notice of Participation
Additional Quality Measures and Procedures for Hospital Reporting of Quality Data for the FY 2008 IPPS Annual Payment Update (Surgical Care Improvement Project & Mortality Measures) Removed 0 0 0 Form CMS-10210 Cart Summary
Form CMS-10210 Oryx
Form CMS-10210 Qnet
Form CMS-10210 HIPAA Compliance
Form and Instruction CMS-10210 Notice of Participation
Quality Measures and Procedures for Hospital Reporting of Quality Data New 17600 6750000 0 Form 10210 Data Accuracy Form
Form and Instruction 10210 Notice of Participation
Form and Instruction 10210 Data Validation Appeal Form
Form and Instruction 10210 Extraordinary Circumstances/Waiver Request Form
Form 10210 Healthcare Associated Infection Exception Form
Form and Instruction 10210 Reconsideration Request
Form and Instruction 10210 Validation Review for Reconsideration Request
Form and Instruction 10210 Inpatient Hospital Compare
Total burden requested under this ICR: 17600 6750000 0  
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