Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Outpatient Quality Data Program (HOPQDRP) - Abstracting Burden (CY 2009 and CY2010) Removed 0 0 0
Hospital Outpatient Quality Data Program (HOPQDRP) - CY 2011 Data Validation Removed 0 0 0 Instruction
Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2010) Removed 0 0 0 Form and Instruction CMS-10250 CMS-10250.Notice of Participation
Hospital Outpatient Quality Data Program (HOPQDRP) - Notice of Participation (2011) Removed 0 0 0 Form and Instruction CMS-10250 CMS Notice of Participation
Hospital Outpatient Quality Data Program (HOPQDRP) CY 2011 Data Abstraction Removed 0 0 0
Hospital Outpatient Quality Data Program - Data Abstraction (CY 2014) New 1628800 949590 0
Hospital Outpatient Quality Data Program - Data Abstraction (CY 2015) New 1628800 949590 0
Hospital Outpatient Quality Data Program - Data Abstration (CY 2016) New 1679700 979265 0
Hospital Outpatient Quality Data Program - Data Validation (CY 2014) New 24000 6000 0
Hospital Outpatient Quality Data Program - Data Validation (CY 2015) New 24000 6000 0
Hospital Outpatient Quality Data Program - Data Validation (CY 2016) New 24000 6000 0
Hospital Outpatient Quality Data Program - Notice of Participation (CY 2014) New 16000 2672 0 Form and Instruction CMS-10250 Notice of Participation
Form and Instruction CMS-10250 Request for Reconsideration Part 1
Form and Instruction CMS-10250 Request for Reconsideration Part 2
Form and Instruction CMS-10250 Extroadinary Circumstances
Hospital Outpatient Quality Data Program - Notice of Participation (CY 2015) New 16000 2672 0 Form and Instruction CMS-10250 Notice of Participation
Hospital Outpatient Quality Program - Notice of Participation (CY 2016) New 29700 4960 0 Form and Instruction CMS-10250 Notice of Participation
Total burden requested under this ICR: 5071000 2906749 0  
To view an IC, click on IC Title