403.904 and 404.908(a) - (g) - Applicable Manufacturer Data Collection and Reporting

Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS-10419)

OMB: 0938-1173

IC ID: 203245

Information Collection (IC) Details

View Information Collection (IC)

403.904 and 404.908(a) - (g) - Applicable Manufacturer Data Collection and Reporting
 
No Modified
 
Mandatory
 
42 CFR 403.908 42 CFR 404.908 42 CFR 403.906 42 CFR 403.904

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10419 Template for Open Payment Data Elements Final rule Open Payments data elements PRA 10 29 14.pdf Yes Yes Fillable Printable

Health Health Care Services

 

1,150 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 1,150 0 0 0 0 1,150
Annual IC Time Burden (Hours) 3,733,683 0 -1,244,317 0 0 4,978,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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