Information Collection

Yearly Industry-Wide Timeliness Monitoring Project (TMP)

IC 242160 under ICR 202006-0938-004 · OMB 0938-1395.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1395 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10717 Yearly Industry-Wide Timeliness Monitoring Project (TMP)	Form and Instruction
CMS-10717 ODAG protocol ODAG_Protocol_508 .pdf	Form and Instruction

IC Title:

Yearly Industry-Wide Timeliness Monitoring Project (TMP)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 423.514 42 CFR 423.504 42 CFR 423.505

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10717	ODAG protocol	ODAG_Protocol_508 .pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 154

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	154	154
Annual IC Time Burden (Hours)	18,557	18,557
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.