Access and Recertification

CMS Identity Management System (CMS-10452)

OMB: 0938-1236

IC ID: 208567

Documents and Forms
Document Name
Document Type
Other-Screen Shot
Other-Screen Shot
Information Collection (IC) Details

View Information Collection (IC)

Access and Recertification OIT
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screen Shot CMS IDM MFA Device Mockup_508.docx Yes Yes Fillable Fileable Signable
Other-Screen Shot CMS IDM User Account Registration Mockup_508.docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

560,000 0
   
Individuals or Households
 
   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 560,000 0 -190,000 0 0 750,000
Annual IC Time Burden (Hours) 186,667 0 -113,333 0 0 300,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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