Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System

ICR 201309-0938-010

OMB: 0938-0984

Federal Form Document

ICR Details
0938-0984 201309-0938-010
Historical Active 200904-0938-010
HHS/CMS 20493
Certification Statement for Electronic File Interchange Organizations that Submit NPI Data to the National Plan and Provider Enumeration System
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 02/14/2014
Retrieve Notice of Action (NOA) 09/12/2013
  Inventory as of this Action Requested Previously Approved
02/28/2017 36 Months From Approved
25 0 0
75 0 0
0 0 0

Health care providers can currently obtain a National Provider Identifier (NPI) via a paper application or over the Internet through the National Plan and Provider Enumeration System (NPPES). These applications must be submitted individually, on a per-provider basis. The Electronic File Interchange (EFI) process allows provider-designated organizations (EFIOs) to capture multiple providers' NPI application information on a single electronic file for submission to NPPES. (This process is also referred to as "bulk enumeration.") To ensure that the EFIO has the authority to act on behalf of each provider and complies with other Federal requirements, an authorized official of the EFIO must sign a certification statement and mail it to the Centers for Medicare and Medicaid Services (CMS).

PL: Pub.L. 104 - 191 Title II Name of Law: Health Insurance Portability and Accountability Act
  
None

Not associated with rulemaking

  78 FR 34387 06/07/2013
78 FR 53766 08/30/2013
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25 0 0 0 -75 100
Annual Time Burden (Hours) 75 0 0 0 -225 300
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a reinstatement of a previously approved collection. The burden has decreased from the previously approved amount due to a decrease in the number of respondents. Also, the form has been revised.

$0
No
No
No
No
No
Uncollected
William Parham 4107864669

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/12/2013


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