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 200805-0938-012

OMB: 0938-0931

Federal Form Document

ICR Details
0938-0931 200805-0938-012
Historical Active 200703-0938-012
HHS/CMS
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406
Extension without change of a currently approved collection   No
Regular
Approved without change 11/21/2008
Retrieve Notice of Action (NOA) 05/30/2008
  Inventory as of this Action Requested Previously Approved
11/30/2011 36 Months From Approved 11/30/2008
325,680 0 325,680
108,560 0 108,560
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.

None
None

Not associated with rulemaking

  73 FR 11119 02/29/2008
73 FR 31121 05/30/2008
Yes

  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 325,680 325,680 0 0 0 0
Annual Time Burden (Hours) 108,560 108,560 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
William Parham 4107864669

  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.
05/30/2008


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