Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Quality Payment Program User Panel Registration Form (CMS-10807) New 20000 1660 0 Form and Instruction CMS-10807 QPP User Panel Registration Form
CMS Electronic Prescribing of Controlled Substances Intercept Survey Intercept Survey (CMS-10921) New 800 200 0 Form and Instruction CmS-10921 Electronic Prescribing of Controlled Substances Intercept Survey
MVP Adoption Survey (CMS-10933) New 750 188 0 Form and Instruction CMS-10933 MVP Adoption Survey
Non-participating Small and Solo Practice Survey (CMS-10898) New 1000 83 0 Form and Instruction CMS-10898 Non-participating Small and Solo Practices Survey
PY24 QPP Submissions Experience Survey (CMS-10850) New 750 188 0 Form and Instruction CMS-10850 QPP Submissions Experience Survey
QPP Participation and Performance Resource Page Intercept Survey (CMS-10925) New 200 50 0 Form and Instruction CMS-10925 QPP Participation and Performance Resource Page Intercept Survey
QPP Web Content Generic Intercept Survey (CMS-10917) New 5000 1250 0 Form and Instruction CMS-10917 QPP Web Content Generic Intercept Survey
QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) New 1500 50 0 Form and Instruction CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey
Quality Payment Program MVP Registration Feedback Survey (CMS-10899) New 1000 83 0 Form and Instruction CMS-10899 QPP MVP Registration Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860 revised) New 750 188 0 Form and Instruction CMS-10860 QPP Feedback Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860) New 750 188 0 Form and Instruction CMS-10860 QPP Feedback Survey
Quality Payment Program User Panel Registration Form (CMS-10807 revised)) New 10000 1000 0 Form and Instruction CMS-10807 revised QPP User Panel Registration Form
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 42500 5128 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title