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

View Information Collection (IC)

CY 2024 Performance Period/2026 MIPS Payment Year Burden Summary
 
No New
 
Mandatory
 
42 CFR 414.1335 42 CFR 414.1380 42 CFR 414.1445 42 CFR 414.1360 42 CFR 414.1395 42 CFR 414.1430 42 CFR 414.1400 42 CFR 414.1325 42 CFR 414.1375 42 CFR 414.1440

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Appendix A Yes Yes Fillable Fileable
Form Appendix L Yes Yes Fillable Fileable
Form and Instruction Appendix I Yes Yes Fillable Fileable
Form and Instruction Appendix B Yes Yes Fillable Fileable
Form and Instruction Appendix C Yes Yes Fillable Fileable
Form and Instruction Appendix D Yes Yes Fillable Fileable
Form and Instruction Appendix E1 Yes Yes Fillable Fileable
Form and Instruction Appendix F1 Yes Yes Fillable Fileable
Form and Instruction Appendix J Yes Yes Fillable Fileable
Form and Instruction Appendix K Yes Yes Fillable Fileable
Form and Instruction Appendix G Yes Yes Fillable Fileable
Form and Instruction Appendix H Yes Yes Fillable Fileable

Health Health Care Services

 

184,564 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 184,564 1,284 159,528 23,752 0 0
Annual IC Time Burden (Hours) 715,450 -4,002 713,860 5,592 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Appendix E2: Measures under Consideration 2023 Data Template for Candidate Measures 08/24/2023
Crosswalk - Appendix F2: 2023 Peer Reviewed Journal Article Requirement Template 08/24/2023
Track Change - Appendix E3: Measures under Consideration 2023 Data Template for Candidate Measures 08/24/2023
Track Change - Appendix F3: 2023 Peer Reviewed Journal Article Requirement Template 08/24/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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