Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CY 2022 Performance Period/2024 MIPS Payment Year Burden Summary Removed 0 0 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 Modified 344023 1469234 0 Form and Instruction Appendix A
Form Appendix B
Form Appendix C
Form Appendix D
Form Appendix E
Form Appendix F
Form Appendix G
Form Appendix H
Form Appendix I
Form Appendix J
Form and Instruction Appendix K
Form Appendix L
Total burden requested under this ICR: 344023 1469234 0  
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