Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System

ICR 200703-0938-002

OMB: 0938-0984

Federal Form Document

ICR Details
0938-0984 200703-0938-002
Historical Active 200606-0938-007
HHS/CMS
Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 08/23/2007
Retrieve Notice of Action (NOA) 03/08/2007
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008 08/31/2008
1,000 0 1,000
3,000 0 3,000
0 0 0

The EFI process allows provider-designated organizations (EFIOs) to capture multiple providers' NPI application information on a single file. To ensure that the EFIO has the authority to act on behalf of the each provider and complies with other Federal requirements, the EFIO must sign a certification statement and mail it to CMS. Most EFIOs will be entities that employ or represent large number of medical providers.

None
None

Not associated with rulemaking

No

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman

  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.
03/08/2007


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