Payment Collections Operations Contingency Plan

Payment Collections Operations Contingency Plan

OMB: 0938-1217

IC ID: 209727

Information Collection (IC) Details

View Information Collection (IC)

Payment Collections Operations Contingency Plan
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10515 SBM Isser Payment Report Copy of Enrollment and Payment Data Template 12 1 13v3.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

575 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 575 575 0 0 0 0
Annual IC Time Burden (Hours) 9,200 9,200 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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