Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2023 QPP Submissions Experience Survey (CMS-10850) New 750 188 0 Form and Instruction CMS-10850 QPP Submissions Experience Survey
2024 QPP Submissions Experience Survey (CMS-10850) New 1000 250 0 Form and Instruction CMS-10850 PY23 Submission Experience Survey
Form and Instruction CMS-10850 Submissions Experience Survey
CMS-10805 and CMS-10806 New 3000 750 0 Form and Instruction CMS-10805 Submissions Experience Survey
Form and Instruction CMS-10806 Presubmissions experience survey
Non-participating Small and Solo Practice Survey (CMS-10898) New 1000 83 0 Form and Instruction CMS-10898 Non-participating Small and Solo Practices Survey Instrument
Quality Payment Program MVP Registration Feedback Survey (CMS-10899) New 1000 83 0 Form and Instruction CMS-10899 MVP Registration Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860 revised) New 750 188 0 Form and Instruction CMS-10860 QPP Feedback Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860) New 750 188 0 Form and Instruction CMS-10860 QPP Feedback Survey
Quality Payment Program User Panel Registration Form (CMS-10807) New 20000 1660 0 Form and Instruction CMS-10807 QPP User Panel Registration Form
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Post Webinar Presentation Satisfaction Survey (CMS-10862) New 1500 50 0 Form and Instruction CMS-10862 Post Webinar Presentation Satisfaction Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 29750 3440 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title