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Information Collection

Health Plan Identifier, Other Entity Identifier, National Provider Identifier Application

IC 204281 under ICR 201209-0938-009 · OMB 0938-1166.

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Information Collection (IC) Details

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Health Plan Identifier, Other Entity Identifier, National Provider Identifier Application
 
No New
 
Voluntary
 
45 CFR 162.410 45 CFR 162.512

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

Health Health Care Services

 

175,000 0
   
Individuals or Households
 
   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 175,000 0 175,000 0 0 0
Annual IC Time Burden (Hours) 60,300 0 60,300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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