Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary Modified 191225 728142 0 Form and Instruction Appendix A1 2024 MIPS QCDR and Registry Self-nomination User Guide
Form Appendix B1 2024 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
Form and Instruction Appendix C1 2024 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Form and Instruction Appendix D1 2024 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
Form and Instruction Appendix E Measures under Consideration 2023 Data Template for Candidate Measures
Form and Instruction Appendix F 2023 Peer Reviewed Journal Article Requirement Template
Form and Instruction Appendix G1 Improvement Activities Performance Category, 2024 Call for Activities Submission Form
Form and Instruction Appendix H1 2023 MIPS Promoting Interoperability Hardship Exception Application Guide
Form and Instruction Appendix I1 2023 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
Form and Instruction Appendix J1 2024 MVP Candidates: Instructions and Template
Form and Instruction Appendix K1 2023 Partial QP Election Form
Form and Instruction Appendix L 2023 MVP Registration Form
Total burden requested under this ICR: 191225 728142 0  
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