Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attestations Modified 750 188 0 Form CMS-10209 CCIP Attestation
Form CMS-10209 CCIP Attestation
Form CMS-10209 QIP Attestation
Chronic Care Improvement Program and Medicare Advantage Quality Improvement Project Removed 0 0 0 Instruction
Instruction
Form CMS-10209 CCIP Screen Shots - Act Section Annual Update.jpg
Form CMS-10209 CCIP Screen Shots - Contract Selection Screen Annual Update
Form CMS-10209 CCIP Screen Shots -- Do Section Annual Update
Form CMS-10209 CCIP Screen Shots -- Do Study Act Sections Annual Update
Form CMS-10209 CCIP Screen Shots - Study Section Annual Update
Form CMS-10209 CCIP Screen Shots - Submission Selection Screen Annual Update
Form CMS-10209 QIP Screen Shots - Act Section Annual Update
Form CMS-10209 QIP Screen Shots - Contract Selection Screen Annual Update
Form CMS-10209 QIP Screen Shots - Do Section Annual Update
Form CMS-10209 QIP Screen Shots - Do Study Act Sections Annual Update
Form CMS-10209 QIP Screen Shots - Study Section Annual Update
Form CMS-10209 QIP Screen Shots - Submission Screen Annual Update
Total burden requested under this ICR: 750 188 0  
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