OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIPAA Nondiscrimination Provisions (CMS-10001)

IC 8623 under ICR 200901-0938-001 · OMB 0938-0827.

Documents and Forms
Document Name
Document Type
No indexed documents/forms are available for this IC yet. A refresh has been queued.
Information Collection (IC) Details

View Information Collection (IC)

HIPAA Nondiscrimination Provisions (CMS-10001)
 
No Modified
 
Mandatory
 
45 CFR 146.121(h) 45 CFR 146.121(i)(2)(i)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

18 0
   
State, Local, and Tribal Governments
 
   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 18 0 0 0 0 18
Annual IC Time Burden (Hours) 194 0 0 0 0 194
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.