Information Collection Request
Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695)
ICR 202408-0938-002 · OMB 0938-1399 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10899 Quality Payment Program MVP Registration Feedback Survey (CMS-10899) |
Form and Instruction | New | Repair queued |
| Form CMS-10898 Non-participating Small and Solo Practice Survey (CMS-10898) |
Form and Instruction | New | Repair queued |
| Form CMS-10862 QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) |
Form and Instruction | New | Repair queued |
| Form CMS-10860 Quality Payment Program Annual Performance Feedback Survey (CMS-10860) |
Form and Instruction | New | Repair queued |
| Form CMS-10807 Quality Payment Program User Panel Registration Form (CMS-10807) |
Form and Instruction | New | Available |
 CMS-10695 MIPS Survey Supporting Statement A_8-8-24.docx |
Supporting Statement A | Uploaded 2024-08-09 | Repair queued |
| CMS-10695 Supporting Statement Part B Research.docx |
Supporting Statement B | Uploaded 2024-08-01 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 270007 |  Quality Payment Program MVP Registration Feedback Survey (CMS-10899) |
Form and Instruction | New | |
| 270006 | Non-participating Small and Solo Practice Survey (CMS-10898) |
Form and Instruction | New | |
| 270004 | QPP/MIPS Post Webinar Presentation Satisfaction Survey (CMS-10862) |
Form and Instruction | New | |
| 270000 | Quality Payment Program Annual Performance Feedback Survey (CMS-10860) |
Form and Instruction | New | |
| 269959 | Quality Payment Program User Panel Registration Form (CMS-10807) |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1399 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202006-0938-020 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |