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CMS-R-10 Form 83 - Part II (Annual Update)
Advanced Directives (Medicare and Medicard) - BDP-718
OMB: 0938-0610
IC ID: 189097
OMB.report
HHS/CMS
OMB 0938-0610
ICR 200810-0938-019
IC 189097
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0610 can be found here:
2017-02-27 - Extension without change of a currently approved collection
2013-12-09 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CMS-R-10 Form 83 - Part II (Annual Update)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 417.436(d)(iii)
42 CFR 422.128
42 CFR 489.102(a)(2)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36,784
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
36,784
0
36,784
0
0
0
Annual IC Time Burden (Hours)
55,176
0
55,176
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.