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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title