View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Tracking the adoption of alternative payment models (CMS-10620)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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	2023 APM National Data Collection Metrics_DRAFT_To CMMI.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 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)	1,400	0	1,400	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Gen-IC Supporting Statement	clean 2. CMS-10620 GenIC - Supporting Statement - 2.17.2023_To CMMI.docx	03/20/2023
National APM Metric Overview	clean 1. 2023 National APM Metric Overview_2.17.2023_To CMMI.docx	03/20/2023
APM-Measurement-FAQ	clean 3. 2023 -APM-Measurement-FAQ_DRAFT_To CMMI.docx	03/20/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.