OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Physician Quality Reporting System (PQRS) (CMS-10276)

OMB 0938-1059 · HHS/CMS.

OMB 0938-1059

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10276 Qualified Registry or QCDR Vendors - Self Nomination Form
CMS-10276 Supporting_Statement_Part_B_PQRS_2015 PFS_112015_AMM_ap_clean.docx Supporting Statement B
CMS-10276 - Supporting Statement A [rev 07-19-2016 by OSORA PRA].docx Supporting Statement A
EHR-based Reporting Mechanism Instruction
Registry-based and QCDR-based Reporting Mechanisms Instruction
Claims-based Reporting Mechanism Instruction
GPRO Web Interface Reporting Mechanism Instruction
Qualified Registry or QCDR Vendors - Self Nomination Form

All Historical Document Collections

201511-0938-008 Approved with change	Revision of a currently approved collection	2016-03-23
201507-0938-008 Comment filed on proposed rule and continue	Revision of a currently approved collection	2015-07-16
201412-0938-003 Approved with change	Revision of a currently approved collection	2014-12-11
201405-0938-007 Approved with change	Revision of a currently approved collection	2014-05-29
201309-0938-018 Approved without change	Revision of a currently approved collection	2013-09-16
201211-0938-004 Comment filed on proposed rule and continue	Revision of a currently approved collection	2012-11-16
201203-0938-009 Approved with change	Revision of a currently approved collection	2012-03-19
201103-0938-013 Approved without change	Reinstatement with change of a previously approved collection	2011-03-21
201008-0938-010 Comment filed on proposed rule	Reinstatement with change of a previously approved collection	2010-08-17
200912-0938-007 Withdrawn and continue	Revision of a currently approved collection	2009-12-12
200902-0938-001 Approved with change	Existing collection in use without an OMB Control Number	2009-02-03