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We note that this proposed change will result in an increase of 2.48 hours (11.98 hr adjusted estimate 9.5 hr currently approved estimate) for each applicant to complete the simplified QCDR self-nomination process (88 FR 79426 and 79427)

STsmokeless tobacco, refreferent, NEnot estimated, 0 deaths

We codified these policies at 410.31 (later redesignated as 410.30)

The burden relevant to the subgroup registration requirement is currently approved by OMB under control number 0938-1314 (CMS-10621)

We also propose modifications to provide clarity on the methodology for capping the ACO's risk score growth and regional risk score growth