Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502 (CMS-10112)

Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502

OMB: 0938-0939

IC ID: 8790

Documents and Forms
Document Name
Document Type
Other-IR Manual
Other-CMS-Manual System
Information Collection (IC) Details

View Information Collection (IC)

Phone Surveys of Product/Service for Medicare Payment Validation and Supporting Regulations in 42 CFR, 405.502 (CMS-10112)
 
No Modified
 
Voluntary
 
42 CFR 405.502

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-IR Manual 10112-instructions.doc Yes Yes Paper Only
Other-CMS-Manual System 10112-manual.doc Yes Yes Paper Only

Health Health Care Services

 

4,000 750
   
Private Sector Businesses or other for-profits
 
   0 %

  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 0 0 2,000 0 2,000
Annual IC Time Burden (Hours) 16,000 0 0 0 0 16,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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