View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0938-1399
ICR Reference No:
202006-0938-020
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
(CMS-10695) Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
08/09/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/01/2020
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2024
36 Months From Approved
Responses
630,300
0
0
Time Burden (Hours)
57,950
0
0
Cost Burden (Dollars)
5,328,024
0
0
Abstract:
This generic clearance is for a program of survey and feedback collections supporting the Quality Payment Program which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (AAPMs). This clearance is necessary to enable CMS to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improve quality and reduce complexity and burden. The information collected from MIPS eligible clinicians, third-party intermediaries, Medicare beneficiaries, and any other audiences that would support CMS in improving MIPS or the Quality Payment Program will help ensure that all stakeholders have an effective and efficient experience. This feedback will help improve user experience, assess methods for simplifying participation including data submission, improve and enhance the utility of web-based tools, and increase the effectiveness of communication with stakeholders.
Authorizing Statute(s):
US Code:
42 USC 1395w-4(s)
Name of Law: Merit Based Incentive Program
PL:
Pub.L. 114 - 10 101
Name of Law: MACRA
PL:
Pub.L. 114 - 255 4002(b)(1)(b)
Name of Law: 21st Century Cures Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR 21010
06/15/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 39570
07/01/2020
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
2023 QPP Submissions Experience Survey (CMS-10850)
CMS-10850
QPP Submissions Experience Survey
2024 QPP Submissions Experience Survey (CMS-10850)
CMS-10850, CMS-10850
PY23 Submission Experience Survey
,
Submissions Experience Survey
CMS-10805 and CMS-10806
CMS-10805, CMS-10806
Submissions Experience Survey
,
Presubmissions experience survey
Non-participating Small and Solo Practice Survey (CMS-10898)
CMS-10898
Non-participating Small and Solo Practices Survey Instrument
Quality Payment Program MVP Registration Feedback Survey (CMS-10899)
CMS-10899
MVP Registration Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860 revised)
CMS-10860
QPP Feedback Survey
Quality Payment Program Annual Performance Feedback Survey (CMS-10860)
CMS-10860
QPP Feedback Survey
Quality Payment Program User Panel Registration Form (CMS-10807)
CMS-10807
QPP User Panel Registration Form
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Post Webinar Presentation Satisfaction Survey (CMS-10862)
CMS-10862
Post Webinar Presentation Satisfaction Survey
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
630,300
0
0
630,300
0
0
Annual Time Burden (Hours)
57,950
0
0
57,950
0
0
Annual Cost Burden (Dollars)
5,328,024
0
0
5,328,024
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new Generic.
Annual Cost to Federal Government:
$3,525,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Denise King 410 786-1013 Denise.King@cms.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/01/2020
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