AM and Applicable GPO (Data submission)

Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)

OMB: 0938-1237

IC ID: 230225

Information Collection (IC) Details

View Information Collection (IC)

AM and Applicable GPO (Data submission)
 
No New
 
Mandatory
 
42 CFR 403.908

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10495 Open Payments User Guide - Data Submission CMS-10495 - Open-Payments-User-Guide 2018.pdf Yes Yes Paper Only

Health Health Care Services

 

1,595 0
   
State, Local, and Tribal Governments
 
   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 1,595 0 0 1,595 0 0
Annual IC Time Burden (Hours) 37,275 0 0 37,275 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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