Individuals Authorized Access to the CMS Computer Services

Individuals Authorized Access to the CMS Computer Services

OMB: 0938-0989

IC ID: 8851

Documents and Forms
Information Collection (IC) Details

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Individuals Authorized Access to the CMS Computer Services
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10173 IACS Registration Screen IACS Registration Screen.doc Yes No Fillable Fileable Signable

Health Health Care Services

 

4,000,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,000,000 0 -56,000,000 0 60,000,000 0
Annual IC Time Burden (Hours) 668,000 0 -14,332,000 0 15,000,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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