Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2021 > (Improvement Activities Performance Category) Data Submission (see SS-A Table 21) Removed 0 0 0
2021 > (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22) Removed 0 0 0 Form CMS-10621
2021 > (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19) Removed 0 0 0 Form and Instruction CMS-10621
2021 > (PI Performance Category) Data Submission (see SS-A Table 18) Removed 0 0 0
2021 > (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16) Removed 0 0 0 Form CMS-10621
Form CMS-10621
2021 > (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28) Removed 0 0 0
2021 > (Quality Performance Category) CMS Web Interface Submission Type (see SS-A Table 13) Removed 0 0 0
2021 > (Quality Performance Category) Call for Quality Measures (see SS-A Table 15) Removed 0 0 0 Form and Instruction CMS-10621
Form and Instruction CMS-10621
2021 > (Quality Performance Category) Claims Collection Type (see Table SS-A 10) Removed 0 0 0
2021 > (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11) Removed 0 0 0
2021 > (Quality Performance Category) Registration and Enrollment for CMS Web Interface (see SS-A Table 14) Removed 0 0 0 Instruction
2021 > (Quality Performance Category) eCQM Collection Type (see SS-A Table 12) Removed 0 0 0
2021 > Nomination of MVPs (SS-A Table 23) Removed 0 0 0 Form and Instruction CMS-10621
2021 > Open Authorization Credentialing and Token Request Process (SS-A Table 5) Removed 0 0 0
2021 > Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 26) Removed 0 0 0 Form CMS-10621
2021 > Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 25) Removed 0 0 0 Form and Instruction CMS-10621
2021 > Partial Qualifying APM Participant (QP) Election (see SS-A Table 24) Removed 0 0 0
2021 > QPP Identity Management Application Process (see SS-A Table 9) Removed 0 0 0
2021 > Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) Removed 0 0 0 Instruction
Instruction
Form CMS-10621
2021 > Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 27) Removed 0 0 0 Form CMS-10621
2022 >> (Improvement Activities Performance Category) Data Submission (see SS-A Table 21) Removed 0 0 0
2022 >> (Improvement Activities Performance Category) Nomination of Improvement Activities (see SS-A Table 22) Removed 0 0 0 Form CMS-10621
2022 >> (PI Performance Category) Call for Promoting Interoperability Measures (see SS-A Table 19) Removed 0 0 0 Form and Instruction CMS-10621
2022 >> (PI Performance Category) Data Submission (see SS-A Table 18) Removed 0 0 0
2022 >> (PI Performance Category) Reweighting Applications for Promoting Interoperability and Other Performance Categories (see SS-A Table 16) Removed 0 0 0 Form CMS-10621
Form CMS-10621
2022 >> (Physician Compare) Opt Out for Voluntary Participants (see SS-A Table 28) Removed 0 0 0
2022 >> (Quality Performance Category) Call for Quality Measures (see SS-A Table 15) Removed 0 0 0 Form and Instruction CMS-10621
Form and Instruction CMS-10621
2022 >> (Quality Performance Category) Claims Collection Type (see Table SS-A 10) Removed 0 0 0
2022 >> (Quality Performance Category) QCDR/MIPS CQM Collection Type (see SS-A Table 11) Removed 0 0 0
2022 >> (Quality Performance Category) eCQM Collection Type (see SS-A Table 12) Removed 0 0 0
2022 >> Nomination of MVPs (SS-A Table 23) Removed 0 0 0 Form and Instruction CMS-10621
2022 >> Open Authorization Credentialing and Token Request Process (SS-A Table 5) Removed 0 0 0
2022 >> Other Payer Advanced APM Identification: Clinician Initiated Process (see SS-A Table 26) Removed 0 0 0 Form CMS-10621
2022 >> Other Payer Advanced APM Identification: Payer Initiated Process (see SS-A Table 25) Removed 0 0 0 Form and Instruction CMS-10621
2022 >> Partial Qualifying APM Participant (QP) Election (see SS-A Table 24) Removed 0 0 0
2022 >> QPP Identity Management Application Process (see SS-A Table 9) Removed 0 0 0
2022 >> Self-nomination: QCDR and Qualified Registry (see SS-A Tables 3 and 4) Removed 0 0 0 Instruction
Instruction
Form CMS-10621
2022 >> Submission of Data for All-Payer QP Determinations under the All-Payer Combination Option (see SS-A Table 27) Removed 0 0 0 Form CMS-10621
CY 2022 Performance Period/2024 MIPS Payment Year Burden Summary New 310051 1435361 0 Other-Appendix A1 (See Table 3): 2022 Qualified Registry Fact Sheet (Revised)
Other-Appendix B1 (See Table 4): 2022 Qualified Clinical Data Registry (QCDR) Fact Sheet (Revised)
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction CMS-10621
Form and Instruction cms-10621
Form and Instruction cms-10621
Form and Instruction cms-10621
Form and Instruction CMS-10621
CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary New 322970 1390019 0
Total burden requested under this ICR: 633021 2825380 0  
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