Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Quality Measures and Procedures for Hospital Reporting of Quality Data Modified 17600 6050000 0 Form and Instruction CMS-10210 Reconsideration Reqeust Paper Form
Form and Instruction CMS-10210 Reconsideration Request Online Form
Form and Instruction CMS-10210 Hospital Value-Based Program Appeal Request Form
Form and Instruction CMS-10210 Hospital Value Based Review and Correction Request Form
Form and Instruction CMS-10210 Hospital Value-Based Purchasing Program Appeal Request Form
Form and Instruction CMS-10210 Hosptial Value-Based Purchasing Review and Corrections Request Form
Form and Instruction CMS-10210 Proposed FY2016 Validation Template for CDI
Form and Instruction CMS-10210 Proposed FY2016 Positive Blood Culture Template
Form and Instruction CMS-10210 Proposed FY2016 Positive Urine Culture Template
Form and Instruction CMS-10210 Proposed FY2016 Validation Template for MRSA
Total burden requested under this ICR: 17600 6050000 0  
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