OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 37925 under ICR 200805-0938-012 · OMB 0938-0931.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406
 
No Modified
 
Mandatory
 
45 CFR 142.408 45 CFR 162.406 45 CFR 162.408

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10114 NPI Application CMS-10114-draft (02202008).pdf Yes Yes Fillable Fileable
Form and Instruction CMS revised Responses Revised CMS 10114 ~ Responses to Public Comments 05222008-1.doc Yes Yes Fillable Fileable

Health Health Care Services

 

35,880 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   75 %

  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 35,880 0 0 0 0 35,880
Annual IC Time Burden (Hours) 11,960 0 0 0 0 11,960
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.