Reapplication

Appropriate Use Criteria (AUC) for Diagnostic Imaging Services: Clinical Decision Support Mechanism (CDSM) Application Process (CMS-10624)

OMB: 0938-1315

IC ID: 222719

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Reapplication
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 414.94

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

Health Health Care Services

 

30 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 6 6 0 0 0 0
Annual IC Time Burden (Hours) 60 60 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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