OMB control number

Physician Quality Reporting System and the Electronic Prescribing Incentive Program

OMB 0938-1226 · HHS/CMS.

OMB 0938-1226

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10482 Survey of Medicare Beneficiaries Form and Instruction
Form CMS-10482 Survey of Eligible Professionals and Administrators Form and Instruction
Supporting_Stmt_B_PRA.pdf Supporting Statement B
Attachment E_PQRS_Comments_Response.pdf Supplementary Document
Attachment F_PQRS_Revisions_to_CMS.pdf Supplementary Document
Attachment_B6_Fact_Sheet.pdf Supplementary Document
Supporting_Stmt_A_PRA.pdf Supporting Statement A
Survey of Medicare Beneficiaries Form and Instruction
Survey of Eligible Professionals and Administrators Form and Instruction

All Historical Document Collections

201401-0938-005

2014-01-09