?495.210 - Gather information for attestation (MA EPs)

Electronic Health Record Incentive Program-Stage 3 (CMS-10552)

OMB: 0938-1278

IC ID: 216083

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§495.210 - Gather information for attestation (MA EPs)
 
No Modified
 
Mandatory
 
42 CFR 495.210

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

Health Health Care Services

 

13,635 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 13,635 13,635 0 0 0 0
Annual IC Time Burden (Hours) 10,226 10,226 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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