Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Outpatient Quality Reporting Modified 40960000 15184997 0 Form and Instruction CMS-10250 Web Based Data Collection Tool
Form and Instruction CMS-10250.OQR_Withdraw Form CMS-10250.OQR_Withdraw Form
Instruction
Form and Instruction CMS-10250 CMS-10250.HOQR ProgramValidationReconForm
Form and Instruction CMS-10250 CMS.10250.Extraordinary Circumstances Exemption Request Form
Total burden requested under this ICR: 40960000 15184997 0  
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