Information Collection

HIPAA Standard Unique Employer Identifier and Supporting Regulations in 45 CFR Part 160 and 162

IC 8696 under ICR 200207-0938-005 · OMB 0938-0874.

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Information Collection (IC) Details

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IC Title:	HIPAA Standard Unique Employer Identifier and Supporting Regulations in 45 CFR Part 160 and 162	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-R-220				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,550,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,550,000	2,550,000
Annual IC Time Burden (Hours)	1,700,000	1,700,000
Annual IC Cost Burden (Dollars)	51,000,000	51,000,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.