Information Collection

Physician Quality Reporting Initiative

IC 187959 under ICR 200902-0938-001 · OMB 0938-1059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1059 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10276 Physician Quality Reporting Initiative Form and Instruction
CMS-10276 2008 PQRI Measure Specifications 2008PQRIMeasureSpecifications123107.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Physician Quality Reporting Initiative	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10276	2008 PQRI Measure Specifications	2008PQRIMeasureSpecifications123107.pdf		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 101,000	Number of Respondents for Small Entity: 101,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,787,000	8,787,000
Annual IC Time Burden (Hours)	1,125,935	1,125,935
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.