Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Outpatient Quality Reporting Modified 968150 287252 0 Form and Instruction CMS-10250
Instruction
Form and Instruction CMS-10250
Form and Instruction CMS-10250.CMS Quality Program ECE Request Form_CY
Form and Instruction CMS-10250.OQR_Withdraw Form
Form and Instruction CMS-10250. OQR_Reconsideration Form
Total burden requested under this ICR: 968150 287252 0  
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