UPIN (Unique Physician Identification Number)/Participating Physicians Directory

ICR 200307-0938-006

OMB: 0938-0905

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0905 200307-0938-006
Historical Active
HHS/CMS
UPIN (Unique Physician Identification Number)/Participating Physicians Directory
New collection (Request for a new OMB Control Number)   No
Emergency 08/08/2003
Approved without change 09/24/2003
Retrieve Notice of Action (NOA) 07/25/2003
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004
10,980 0 0
915 0 0
0 0 0

In November of 2000, CMS launched the Participating Physicians Directory on www.medicare.gov. This particular directory was created to provide beneficiaries with the names, addresses, and specialties of Medicare participating who have agreed to accept assisgnment on all Medicare claims and covered services. CMS is adding information from already existing sources; in addition CMS wants to collect a new data element "Accepting New Patients Indicator" which is essential to a beneficiary's search for a physician.

None
None


No

1
IC Title Form No. Form Name
UPIN (Unique Physician Identification Number)/Participating Physicians Directory CMS-10091

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,980 0 0 10,980 0 0
Annual Time Burden (Hours) 915 0 0 915 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/25/2003


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