View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No: 0938-1314	ICR Reference No: 202605-0938-004
Status: Received in OIRA	Previous ICR Reference No: 202509-0938-009
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	Date Submitted to OIRA: 05/12/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2027
Responses	283,380	135,984
Time Burden (Hours)	1,184,045	649,371
Cost Burden (Dollars)	0	0

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
2027 Performance Period/2029 MIPS Payment Year	Appendix G, Appendix H, Appendix I, Appendix J, Appendix K, Appendix L, Appendix A, Appendix B, Appendix C, Appendix D, Appendix E, Appendix F	, , , , , , , , , , ,
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	, , , , , , , , , , ,

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion
Annual Number of Responses	283,380	135,984	0	147,396
Annual Time Burden (Hours)	1,184,045	649,371	1,733	532,941
Annual Cost Burden (Dollars)	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The changes are associated with our November 5, 2025 (90 FR 49266) CY 2026 PFS final rule (CMS-1832-F; RIN 0938-AV50) and adjustments to the currently approved burden as a result of updated data sources and assumptions. We have also revised Appendices A through L.

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

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.