PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program

PPS-exempt Cancer Hospital Quality Reporting (PCHQR) Program (CMS-10431)

OMB: 0938-1175

IC ID: 202342

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

PPS-exempt Cancer Hosptital Quality Reporitng (PCQR) Program
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10431 Measure Exception Form PCHQR_CY 2025 Measure Exception Form_vFINALff(508).pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Data Accuracy and Completeness Form PCHQR_HQR_FY 2026 DACA_vFINAL(508)ff.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10431 Notice of Participation PCHQR_HQR_CY 2025 NOP_vFINAL(508).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

11 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 11 0 0 0 0 11
Annual IC Time Burden (Hours) 109 0 0 0 0 109
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy