Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105 (CMS-R-64)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0456 can be found here:

Documents and Forms

Document Name Document Type
IRIS XML FTE Calculation Draft (005) vj508.pdf Instruction
IRIS XML General Instructions - no track changes (final) vj508.pdf Instruction

Information Collection (IC) Details

IC Title:	Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 412.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			IRIS XML General Instructions - no track changes (final) vj508.pdf		Yes	Yes	Fillable Printable
Instruction			IRIS XML FTE Calculation Draft (005) vj508.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,245	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,245	1,245
Annual IC Time Burden (Hours)	2,490	2,490
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.