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 ICR - OIRA Conclusion
OMB Control No:
0938-1314
ICR Reference No:
202509-0938-009
Status:
Historical Inactive
Previous ICR Reference No:
202412-0938-008
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCSQ
Title:
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Comment filed on proposed rule and continue
Conclusion Date:
11/26/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/09/2025
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2027
36 Months From Approved
02/28/2027
Responses
135,984
0
135,984
Time Burden (Hours)
649,371
0
649,371
Cost Burden (Dollars)
0
0
0
Abstract:
Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.
Authorizing Statute(s):
US Code:
42 USC 1395w-4
Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Citations for New Statutory Requirements:
US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV50
Proposed rulemaking
90 FR 32352
07/16/2025
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
90 FR 32352
07/16/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
2027 Performance Period/2029 MIPS Payment Year
Appendix I, Appendix J, Appendix L, Appendix G, Appendix K, Appendix E, Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H
2026 MIPS QCDR and Registry Self-nomination User Guide
,
2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
,
Measures under Consideration 2025 Data Template for Candidate Measures
,
2025 Peer Reviewed Journal Article Requirement Template
,
Improvement Activities Performance Category, 2026 Call for Activities Submission Form
,
2025 MIPS Promoting Interoperability Hardship Exception Application Guide
,
2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
,
2025 MVP Candidates: Instructions and Template
,
2025 Partial QP Election Form (for submission in CY 2026)
,
2025 MVP Registration Form
CY 2026 Performance Period/2028 MIPS Payment Year
Appendix A, Appendix B, Appendix C, Appendix D, Appendix F, Appendix H, Appendix I, Appendix J, Appendix L, Appendix G, Appendix K, Appendix E
2026 MIPS QCDR and Registry Self-nomination User Guide
,
2026 Submission Form for Other Payer Requests for Other Payer Advanced Alternative Payment Model Determinations (Payer Initiated Submission Form)
,
2026 Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
,
2026 Submission Form for Requests for Qualifying Alternative Payment Model Participant (QP) Determinations under the All-Payer Combination Option
,
Measures under Consideration 2025 Data Template for Candidate Measures
,
2025 Peer Reviewed Journal Article Requirement Template
,
Improvement Activities Performance Category, 2026 Call for Activities Submission Form
,
2025 MIPS Promoting Interoperability Hardship Exception Application Guide
,
2025 MIPS Extreme and Uncontrollable Circumstances Exception Application Guide
,
2025 MVP Candidates: Instructions and Template
,
2025 Partial QP Election Form (for submission in CY 2026)
,
2025 MVP Registration Form
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Overall, this iteration proposes to adjust the current estimates for the CY 2026 performance period/2028 MIPS payment year by plus 5,706 responses and minus 58,216 hours. Additionally, we propose adjusting the estimates for the CY 2027 performance period/2029 MIPS payment year by plus 1,733 hours. See Table series 34 of this Supporting Statement for a summary of this iteration’s rule and non-rule related changes for each ICR. We have also revised Appendices A through L. See section 12 of this Supporting Statement for additional details.
Annual Cost to Federal Government:
$392
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.
Yes
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.
Yes
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:
Mitch Bryman 410 786-5258 Mitch.Bryman@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:
09/09/2025
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