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Quality Improvement of IPPTA Processes and Procedures 10894
 
New
 
Voluntary
 
45 CFR 155.1500-1515

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10894 Preparation: SMEs for IPPTA Workstream 1_ Prepare SBEs for IPPTA.html https://forms.office.com/Pages/ResponsePage.aspx?id=we3c-6lwS0G_pcMGP8M5XsTeH2nprjVNtlV_jBxTcVtUREFXV0lQWUhOM0YxOUpIOVhBU1c5MlJQTy4u Yes Yes Fillable Fileable
Form and Instruction CMS-10894 Data documentation Submission and Sampling Workstream 2_ Data Documentation Submission and Sampling.html https://forms.office.com/Pages/ResponsePage.aspx?id=we3c-6lwS0G_pcMGP8M5XsTeH2nprjVNtlV_jBxTcVtUNjVZU1BNT0tTTDJQT0lTS0Y1QlkwNTUwQi4u Yes Yes Fillable Fileable
Form and Instruction CMS-10894 Conduct Reviews Workstream 3_ Conduct Reviews.html https://forms.office.com/Pages/ResponsePage.aspx?id=we3c-6lwS0G_pcMGP8M5XsTeH2nprjVNtlV_jBxTcVtURTlTTFBCSUlONVRYNkc2SEVPWVJBNTU4Ny4u Yes Yes Fillable Fileable
Form and Instruction CMS-10894 Observation and Collaboration Workstream 4_ Observation and Collaboration.html https://forms.office.com/Pages/ResponsePage.aspx?id=we3c-6lwS0G_pcMGP8M5XsTeH2nprjVNtlV_jBxTcVtURDBVUEhRT0VLQzZXRVNFT1FNMTkwVU5VNS4u Yes Yes Fillable Fileable
Form and Instruction CMS-10894 SBE Closeout Workstream 5_ SBE Closeout.html https://forms.office.com/Pages/ResponsePage.aspx?id=we3c-6lwS0G_pcMGP8M5XsTeH2nprjVNtlV_jBxTcVtURElIMDEwSVhaVFhIV0o5TjdVV1lNVTc1OS4u Yes Yes Fillable Fileable

Health Health Care Services

 

19 0
   
State, Local, and Tribal Governments
 
   0 %

  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 19 0 19 0 0 0
Annual IC Time Burden (Hours) 228 0 228 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IPPTA Fast Track Summary CMS-10894 - IPPTA Form_Fast Track.docx 03/25/2024
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