National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)

ICR 202011-0938-004

OMB: 0938-0931

Federal Form Document

Forms and Documents
ICR Details
0938-0931 202011-0938-004
Received in OIRA 201711-0938-003
HHS/CMS CPI - 10114
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)
Revision of a currently approved collection   No
Regular 11/10/2020
  Requested Previously Approved
36 Months From Approved 06/30/2021
996,042 1,418,345
169,327 482,238
0 0

The National Provider Identifier (NPI) Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The form is available on paper or can be completed via a web-based process. An NPI is expected to last for the "life" of the health care provider (i.e., until the death of an individual or until the dissolution of an organization); therefore, a health care provider applies for an NPI only one time. A health care provider must furnish updates to the required information given in the application whenever changes occur to those data. Updates can be mailed or submitted electronically.

US Code: 31 USC 7701(c) Name of Law: Tax Payer Identification Number
   US Code: 5 USC 522(b)(4) Name of Law: The Freedom of Information Act
   US Code: 45 USC 162.410(a)(1) through (a)(6) Name of Law: Implementation Specifications: Health Care Providers
   EO: EO 12600 Name/Subject of EO: Predisclosure Notification Procedures for Confidential Commercial Information
   PL: Pub.L. 109 - 220 508 Name of Law: Rehabilitation Act of 1973 as incorporated with the Americans With Disabilities Act of 2005
  
None

Not associated with rulemaking

  85 FR 35095 06/08/2020
85 FR 70633 11/05/2020
No

2
IC Title Form No. Form Name
National Provider Identifier (NPI) Application and Update Form CMS-10114 NPI Application and Update Form
National Provider Identifier (NPI) Application CMS-10114 NPI Application

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 996,042 1,418,345 0 0 -422,303 0
Annual Time Burden (Hours) 169,327 482,238 0 0 -312,911 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The new estimates for completing the CMS-10114 (The National Provider Identifier Application/Update Form) for initial applications and reporting updates in initial application are taken directly from the actual applications processed for calendar year 2019 in NPPES and therefore more accurate than the prior estimates. In addition, CMS assessed (via NPPES) how many providers are currently using the CMS-10114 to update their initial application information. Those assessed providers were added to the current burden estimates. This decreased the number of respondents by 477,143 (1,473,185 to 996,042). In addition, the prior burden was based on an application completion time of .24 hours (20 minutes); however, the completion time has been reduced to .17 hours (10 minutes). The reduction in completion time reduced the burden hours by 312,911 hours (from 482,238 to 169,327).

$0
No
    No
    No
No
No
No
No
Jamaa Hill 301 492-4190

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/10/2020


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