Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Ambulatory Surgical Center Quality Reporting (ASCQR) Program Modified 82161000 321177 0 Form and Instruction CMS-10530 Data Collection insruments
Form and Instruction CMS-10530.ASCQR_Withdraw Form CMS-10530.ASCQR_Withdraw Form
Instruction
Form and Instruction CMS-10530 Centers for Medicare & Medicaid Services (CMS) Quality Program Extraordinary Circumstances Exceptions (ECE) Request Form
Total burden requested under this ICR: 82161000 321177 0  
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