CROWNWeb Authentication Service (CAS) Account Form (First Year)

CROWNWeb Authentication Service (CAS) Account Form

OMB: 0938-1050

IC ID: 186126

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Information Collection (IC) Details

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CROWNWeb Authentication Service (CAS) Account Form (First Year)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10267 CAS Account Form CMS-10267.CAS Account Form.pdf Yes No Fillable Printable

Health Health Care Services

 

13,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 13,000 0 0 0 0 13,000
Annual IC Time Burden (Hours) 6,500 0 0 0 0 6,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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