Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
$414.1430 (Partial Qualifying APM Participant (QP) election) Modified 12800 6400 0
414.1400 (Quality Performance Category) CAPHs for MIPS New 132307 43661 0
§414.1330 and §414.1335 CMS Web Interface Submission Mechanism Modified 750 60299 0 Form and Instruction CMS-10621 List of Quality Performance Category Measures
§414.1330 and §414.1335 Claims Submission Mechanism Modified 332729 6255305 0 Form and Instruction CMS-10621 List of Quality Performance Category Measures
§414.1330 and §414.1335 EHR Submission Mechanism Modified 52430 629160 0 Form and Instruction CMS-10621 List of Quality Performance Category Measures
§414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism Modified 121879 1350785 0 Form and Instruction CMS-10621 List of Quality Performance Category Measures
§414.1360 (Improvement Activities) Modified 507337 1014674 0 Form and Instruction CMS-10621 Improvement Activities Inventory
§414.1375 (Advancing Care Information Performance Category) Modified 528231 1584694 0 Form and Instruction CMS-10621 List of Advancing Care Information Performance Category
§414.1390 (Data Validation and Auditing) Modified 430 645 0
§414.1400 QCDR and qualified registry self nomination Modified 183 1830 0 Form and Instruction CMS-10621 QCDR Self-nomination form
Total burden requested under this ICR: 1689076 10947453 0  
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