Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Quality Measures and Procedures for Hospital Reporting of Quality Data Modified 18000 2286977 0 Form and Instruction CMS-10210 Data Accuracy and Completeness Form
Form and Instruction CMS-10210 Hospital VPB Review and Corrections Form
Form and Instruction CMS-10210 Extraordinary Circumstances Form
Form and Instruction CMS-10210 Hospital Compare Request Form for Withholding/Footnoting Data for Public Reporting
Form and Instruction CMS-10210 IQR Notice of Participation Form
Form and Instruction CMS-10210 IQR Reconsideration Request Form
Form and Instruction CMS-10210 Validation Review for Reconsideration Request
Form and Instruction CMS-10210 VBP Appeal Request Form
Form and Instruction CMS-10210 HVBP CMS Independent Review Form
Form and Instruction CMS-10210 Validation Educational Review Form
Form and Instruction CMS-10210 Maternal Morbidity Structural Measure
Form and Instruction CMS-10210 Population and Sampling
Form and Instruction CMS-10210 Hospital Inpatient Quality Reporting Program Denominator Declaration
Total burden requested under this ICR: 18000 2286977 0  
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