Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Outpatient Quality Reporting CY 2016 - CY 2018 Unchanged 2331486 3056717 0 Form and Instruction CMS-10250 Extroadinary Circumstances Form
Form and Instruction CMS-10250 Notice of Participation Form
Form and Instruction CMS-10250 Validation Review for Reconsideration Request
Form and Instruction CMS-10250 Reconsideration Request Form
Total burden requested under this ICR: 2331486 3056717 0  
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