This collection is approved for 9 months in accordance with the following terms of clearance:
CMS will provide OMB within 2 months from the date of clearance a briefing and written analysis on the feasibility of removing the request for a providerÂs SSN on the application. OMB requests CMS provide the following information:
1. Alternative methods (other than the use of a SSN, in whole or in part) for verifying and matching the identity of individual providers requesting an NPI or updating information associated with their NPI .
2. The cost and systems redesign that would be required to remove the use of the SSN (in whole or part). Please discuss costs and system redesigns associated with implementing an alternate method(s) of verifying providers' identities. This analysis should estimate costs to the program each year over 5 years.
Inventory as of this Action
Requested
Previously Approved
02/29/2008
36 Months From Approved
02/29/2008
325,680
0
1,193,945
108,560
0
448,128
0
0
0
The form will be used by health care providers to apply for NPIs and to update the information collected from them whenever it changes.
The NPI Application/Update form has been revised to further assist in uniquely identifying health care providers and provide additional guidance on how to accurately complete the form. Specifically, the form captures additional information regarding reactivations, sole proprietors, and organization subparts. Other minor changes include adding check boxes to clarify changes of information (i.e., check boxes for Add Information and Replace Information), changing the URL located under Section 5 to reflect the accurate web address, and other minor revisions. This collection also includes more detailed instructions.
$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.
Form CMS-10114 National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406
CMS-10114.MedcoComments(2-15-07).pdf
CMS-10114.WEDI Public Comments (2-19-07).doc
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406