LAN Summit Registration Form (CMS-10702)

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

OMB: 0938-1297

IC ID: 236069

Information Collection (IC) Details

View Information Collection (IC)

LAN Summit Registration Form (CMS-10702)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10702 LAN Summit Registration Form Registration page.pdf https://www.lansummit.org/registration/ Yes Yes Fillable Printable

Health Health Care Services

 

1,400 0
   
Private Sector Businesses or other for-profits
 
   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 1,400 0 1,400 0 0 0
Annual IC Time Burden (Hours) 233 0 233 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Supporting Statment CMS-10702 GenIC 2019 LAN Summit Registration Form.docx 05/13/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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