View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Tracking the Adoption of Alternative Payment Models (CMS-10620)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10620 National Data Collection Metrics National_Data_Collection_Metrics_2018.xlsx Yes Yes Fillable Fileable
Form and Instruction CMS-10620 APM Survey 2018 APM survey - qualtrics 31jan2018.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10620 Informational Questions Informational Questions_2.2.2018.docx Yes Yes Fillable Fileable

Health Health Care Services

 

75 15
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 75 0 75 0 0 0
Annual IC Time Burden (Hours) 1,875 0 1,875 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10620 GenIC 13 Supporting Statement CMS-10620 GenIC - 13 Supporting Statement - revised - 2.26.2018.docx 02/27/2018
Current Burden Estimate 2018 Burden Estimate_2.2.2018.docx 02/27/2018
Change in Burden Hours 2018 APM Burden Hours Appendix - 2.2.2018.docx 02/27/2018
National Metric Overview 2018 National APM Metric Overview - 2.2.2018.docx 02/27/2018
APM Measuremen FAQ APM Measurement Frequently Asked Questions_2.2.2018.docx 02/27/2018
LAN Measurement page Updates for the 2018 LAN Measurement page.docx 02/27/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.