OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Burden Estimates

IC 193861 under ICR 201503-0938-010 · OMB 0938-1099.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Burden Estimates
 
No Unchanged
 
Mandatory
 
45 CFR 147.136

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10338 Letter to Issuers.pdf Yes No Fillable Fileable
Instruction CMS-10338 Letter to Issuers in Territories.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 abd_model_notice CMS-10338 abd_model_notice.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 final_iabd_model_notice CMS-10338 final_iabd_model_notice.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 external_final_decision_model_notice CMS-10338 external_final_decision_model_notice.pdf Yes No Fillable Fileable

Health Health Care Services

 

46,773 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 218,000,000 0 0 0 0 218,000,000
Annual IC Time Burden (Hours) 930,000 0 0 0 0 930,000
Annual IC Cost Burden (Dollars) 52,000,000 0 0 0 0 52,000,000

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.