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

View Information Collection (IC)

2021 Tracking the adoption of alternative payment models (CMS-10620) CMMI
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10620 Informational Questions 5. LAN_2021 Informational Questions_3.8.2021.docx Yes Yes Fillable Printable
Form and Instruction CMS-10620 Additional Informational Questions 6. LAN_2021 Informational Questions_3 Additional - 3.8.2021.docx Yes Yes Fillable Printable
Form and Instruction CMS-10620 National_Data_Collection_Metrics LAN_2021_APM_National_Data_Collection_Metrics.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

50 0
   
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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 1,350 0 1,350 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 2. CMS-10620 GenIC - Supporting Statement - 3.8.2021.docx 03/09/2021
National APM Metric Overview 1. 2021 National APM Metric Overview_3.8.2021.docx 03/09/2021
Frequently_Asked_Questions 3. Frequently_Asked_Questions_3.8.2021.docx 03/09/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.