155.225(b)(1)(ii) - Issuance of unique registration identification number

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel -CAC (CMS-10494)

OMB: 0938-1205

IC ID: 208213

Information Collection (IC) Details

View Information Collection (IC)

155.225(b)(1)(ii) - Issuance of unique registration identification number
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.225(b)(1)(ii)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10494 Registration Portal CMS-10494 - Appendix D_Registration Portal.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

5,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   80 %

  Requested 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 30,000 0 0 0 0 30,000
Annual IC Time Burden (Hours) 900 0 0 0 0 900
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Data Elements CMS-2334-F2-APPENDIX B.PDF 08/14/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy