(PI Performance Category) Data Submission (see SS-A Table 18)

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

OMB: 0938-1314

IC ID: 221784

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Information Collection (IC) Details

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(PI Performance Category) Data Submission (see SS-A Table 18)
 
No Modified
 
Mandatory
 
42 CFR §414.1375  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

Quality Payment Program (QPP), System No. 09–70– 0539  83 FR 6587

74,281 74,281
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 74,281 0 -19,588 0 0 93,869
Annual IC Time Burden (Hours) 198,083 0 -52,234 0 0 250,317
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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