Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Tracking the Adoption of Alternative Payment Models (CMS-10620) New 50 1150 0 Form and Instruction CMS-10620 National Data Collection Metric
Form and Instruction CMS-10620 National Data Collection Metrics - Excel
Tracking the Adoption of Alternative Payment Models (CMS-10620) New 75 1875 0 Form and Instruction CMS-10620 National Data Collection Metrics
Form and Instruction CMS-10620 APM Survey
Form and Instruction CMS-10620 Informational Questions
(CMS-10620) Tracking the adoption of alternative payment models New 440 13640 0 Form and Instruction CMS-10620 National Data Collection Metrics
(CMS-10644) LAN Forum Registration Form New 2500 83 0 Form and Instruction CMS-10644 LAN Forum Registration Form
(CMS-10648) LAN Forum –Event Evaluations New 500 42 0 Form and Instruction CMS-10648 LAN Forum Evaluation Form
CMS-10640 (MAC) Participant Form New 25 6 0 Form and Instruction CMS-10640 MAC Participant Form
LAN Document (CMS-10655) New 900 149 0 Form and Instruction CMS-10655 GenIC#16 LAN Summit 2017 Registration Form
LAN Documents (CMS-10602, CMS-10603 and CMS-10604) New 4850 648 0 Form and Instruction CMS-10603 LAN Summit Abstract Submission
Form and Instruction CMS-10604 LAN Registration Form
Form and Instruction CMS-10602 LAN Summit Registration Form
LAN Documents (CMS-10606, CMS-10607 and CMS-10608) New 13224 666 0 Form and Instruction CMS-10606 Speaker Request Form
Form and Instruction CMS-10608 Webinar Registration - LAN update
Form and Instruction CMS-10607 Webinar Registration - LAN Learning
LAN Documents (CMS-10612, CMS-10613 and CMS-10614) New 4400 231 0 Form and Instruction CMS-10612 Webinar Registration - LAN Listening
Form and Instruction CMS-10613 LAN Summit Session Evaluation Form
Form and Instruction CMS-10614 LAN Summit Evaluation Form
LAN Documents (CMS-10616, CMS-10617 and CMS-10618) New 1680 56 0 Form and Instruction CMS-10616 Webinar Post-Session Evaluation Form - Lan Update
Form and Instruction CMS-10617 Webinar Post-Session Evaluation Form - Listening
Form and Instruction CMS-10618 Webinar Post-Session Evaluation - Learnings
LAN Documents (CMS-10659 and CMS-10660) New 1760 147 0 Form and Instruction CMS-10659 Overall Evaluations Summit 2017
Form and Instruction CMS-10659 Summit web portal evalations
Form and Instruction CMS-10660 Sessions Evaluations
LAN Documents (CMS-10670, CMS-10671, and CMS-10672) New 3360 414 0 Form and Instruction CMS-10670 LAN Summit Registration Form
Form and Instruction CMS-10671 LAN Summit Evaluation Form
Form and Instruction CMS-10672 LAN Session Evaluation Form
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 33764 19107 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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