Information Collection

Recognized Accrediting Entities Data Collection

IC 203909 under ICR 201208-0938-011 · OMB 0938-1176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1176 can be found here:

Documents and Forms

Document Name Document Type
Instructions for AE Submission-v2 REVISED 209-13-12.docx Instruction
CMS-10449 Appendix C CMS-10449 Appendix C- AE - 508.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recognized Accrediting Entities Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 156.275

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Instructions for AE Submission-v2 REVISED 209-13-12.docx		Yes	Yes	Printable Only
Form	CMS-10449	Appendix C	CMS-10449 Appendix C- AE - 508.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1,772	1,772
Annual IC Cost Burden (Dollars)	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.