Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary	Removed	0	0	0	Form and Instruction	Appendix A1
					Form	Appendix B1
					Form and Instruction	Appendix C1
					Form and Instruction	Appendix D1
					Form and Instruction	Appendix E
					Form and Instruction	Appendix F
					Form and Instruction	Appendix G1
					Form and Instruction	Appendix H1
					Form and Instruction	Appendix I1
					Form and Instruction	Appendix J1
					Form and Instruction	Appendix K1
					Form and Instruction	Appendix L
CY 2025 Performance Period/2027 MIPS Payment Year	New	136053	649776	0	Form and Instruction	Appendix A1
					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 G
					Form and Instruction	Appendix H1
					Form and Instruction	Appendix I1
					Form and Instruction	Appendix J
					Form and Instruction	Appendix K
					Form and Instruction	Appendix L
Total burden requested under this ICR:		136053	649776	0
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