Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
$414.1430 (Partial Qualifying APM Participant (QP) election) Modified 17 4 0
414.1400 (Quality Performance Category) CAPHs for MIPS Removed 0 0 0
§414.1330 and §414.1335 CMS Web Interface Submission Mechanism Modified 298 22052 0 Instruction
§414.1330 and §414.1335 Claims Submission Mechanism Modified 364002 6479236 0
§414.1330 and §414.1335 EHR Submission Mechanism Modified 61070 610700 0
§414.1330 and §414.1335 Qualified Registry or QCDR Submission Mechanism Modified 88501 803855 0
§414.1330 and §414.1335 Quality Performance Category) Registration and Enrollment for CMS Web Interface New 10 10 0
§414.1345 Election of Facility-Based Measurement New 18207 18207 0
§414.1360 (Improvement Activities Performance Category) Call for Activities New 150 75 0
§414.1360 (Improvement Activities) Modified 524488 524488 0
§414.1375 (Advancing Care Information Performance Category) Modified 288721 866163 0
§414.1375 (Advancing Care Information Performance Category) Significant Hardships, including for small practices and decertification of EHRs New 50689 25345 0
§414.1390 (Data Validation and Auditing) Removed 0 0 0
§414.1395 (Physician Compare) Opt Out for Voluntary Participants New 22400 5600 0
§414.1400 QCDR and qualified registry self nomination Modified 233 2330 0
§414.1440 Other Payer Advanced APM Identification: Other Payer Initiated Process New 300 3000 0 Form and Instruction CMS-10621 Clinician Initiated Submission Form
Form and Instruction CMS-10621 Payer Initiated Submission Form
Total burden requested under this ICR: 1419086 9361065 0  
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