Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claims-based Reporting Mechanism Modified 350000 5528488 0 Instruction
Other-Crosswalk - Implementation Guide
EHR-based Reporting Mechanism Modified 50000 450000 0 Instruction
Other-Crosswalk - Implementation Guide
GPRO Web Interface Reporting Mechanism Modified 500 42500 0 Instruction
Other-Crosswalk - Implementation Guide
Form CMS-10276 Self Nomination
Qualified Registry or QCDR Vendors - Self Nomination Modified 150 1500 0 Form CMS-10276 Self Nomination
Registry-based and QCDR-based Reporting Mechanisms Modified 212000 1713596 0 Instruction
Other-Crosswalk - Implementation Guide
Total burden requested under this ICR: 612650 7736084 0  
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