Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
CY 2023 Performance Period/2025 MIPS Payment Year Burden Summary	Removed	0	0	0	Form and Instruction	Appendix A
					Form	Appendix B1
					Form and Instruction	Appendix C1
					Form and Instruction	Appendix D1
					Form and Instruction	Appendix E1
					Form and Instruction	Appendix F1
					Form and Instruction	Appendix G1
					Form and Instruction	Appendix H1
					Form and Instruction	Appendix I
					Form and Instruction	Appendix J
					Form and Instruction	Appendix K1
					Form and Instruction	Appendix L1
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary	New	184564	715450	0	Form and Instruction	Appendix A
					Form	Appendix L
					Form and Instruction	Appendix I
					Form and Instruction	Appendix B
					Form and Instruction	Appendix C
					Form and Instruction	Appendix D
					Form and Instruction	Appendix E1
					Form and Instruction	Appendix F1
					Form and Instruction	Appendix J
					Form and Instruction	Appendix K
					Form and Instruction	Appendix G
					Form and Instruction	Appendix H
Total burden requested under this ICR:		184564	715450	0
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