Information Collection Request

National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406

ICR 200703-0938-012 · OMB 0938-0931 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10114 (Updated National Provider Identifier (NPI) Application/Update Form (updated) Form and Instruction Modified Available
Form CMS-10114 National Provider Identifier (NPI) Application/Update Form Form and Instruction Modified Available
Form CMS-10114 NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM Form and Instruction Modified Available
Form CMS-10114 (updated National Provider Identifier (NPI) Application/Update Form (updated) Form and Instruction New Available
Form CMS-10114 National Provider Identifier (NPI) Application/Update Form Form and Instruction New Available
Form CMS-10114 NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM Form and Instruction New Available
CMS-10114.MedcoComments(2-15-07).pdf Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.WEDI Public Comments (2-19-07).doc Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.FAH Comments(2-20-07).pdf Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.AMA Comments(2-20-07).pdf Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.Revisions - Crosswalk from old to new.doc Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.Response to Public Comments.doc Supplementary Document Uploaded 0000-00-00 Available
CMS-10114.REVISED-Supporting Statement-12-13-06.doc Supporting Statement A Uploaded 0000-00-00 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
37925 National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 Form and Instruction ModifiedNational Provider Identifier (NPI) Application/Update Form (updated)
37925 National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 Form and Instruction ModifiedNational Provider Identifier (NPI) Application/Update Form
37925 National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 Form and Instruction ModifiedNATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM
179125 National Provider Identifier (NPI) Application and Update Form Form and Instruction NewNational Provider Identifier (NPI) Application/Update Form (updated)
179125 National Provider Identifier (NPI) Application and Update Form Form and Instruction NewNational Provider Identifier (NPI) Application/Update Form
179125 National Provider Identifier (NPI) Application and Update Form Form and Instruction NewNATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM

ICR Details

Reginfo record details
table that charts list comparision
  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





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
National Provider Identifier (NPI) Application and Update Form CMS-10114, CMS-10114, CMS-10114 (updated) ,   ,  
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, CMS-10114 (Updated), CMS-10114 ,   ,  

table that charts list of burden
  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 325,680 1,193,945 0 -868,265 0 0
Annual Time Burden (Hours) 108,560 448,128 0 -339,568 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No