Information Collection Request

Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)

ICR 202102-0938-019 · OMB 0938-1237 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10495 Applicable GPO (Data Collection and Submission) Form and Instruction Modified Repair queued
Form CMS-10495 GPO Dispute and Resolution Correction Form and Instruction Modified Repair queued
Form CMS-10495 Dispute Resolution and Correction (AM) Form and Instruction Modified Repair queued
Form CMS-10495 Applicable GPO (Assumptions Document) Form and Instruction Modified Repair queued
Form CMS-10495 Applicable GPO (Attestation) Form and Instruction Modified Repair queued
Form CMS-10495 Applicable GPO (Registration) Form and Instruction Modified Repair queued
Form CMS-10495 AM (Data Collection and Submission) Form and Instruction Modified Repair queued
Form CMS-10495 Dispute and Resolution Correction (Teaching Hospitals) Form and Instruction Modified Repair queued
Form CMS-10495 Dispute Resolution and Correction (Physicians) Form and Instruction Modified Repair queued
Form CMS-10495 AM (Assumptions Document) Form and Instruction Modified Available
Form CMS-10495 AM (Attestation) Form and Instruction Modified Repair queued
Form CMS-10495 Teaching Hospitals (Registration) Form and Instruction Modified Repair queued
Form CMS-10495 Physicians (Registration) Form and Instruction Modified Repair queued
Form CMS-10495 AM (Registration) Form and Instruction Modified Repair queued
CMS-10495 - Supporting Statement A.docx Supporting Statement A Uploaded 2021-02-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
238594 Standardizing Data on Reported Products Unchanged
238593 Modifying Nature of Payment Categories Unchanged
238592 Applicable GPO (Data Collection and Submission) Form and Instruction Modified
238591 GPO Dispute and Resolution Correction Form and Instruction Modified
238590 Dispute Resolution and Correction (AM) Form and Instruction Modified
238589 Applicable GPO (Assumptions Document) Form and Instruction Modified
238588 Applicable GPO (Attestation) Form and Instruction Modified
238587 Applicable GPO (Record Retention) Instruction Modified
238586 Applicable GPO (Registration) Form and Instruction Modified
230225 AM (Data Collection and Submission) Form and Instruction Modified
212217 Dispute and Resolution Correction (Teaching Hospitals) Form and Instruction Modified
212216 Dispute Resolution and Correction (Physicians) Form and Instruction Modified
211456 AM (Assumptions Document) Form and Instruction Modified
211455 AM (Attestation) Form and Instruction Modified
211454 AM (Record Retention) Instruction Modified
209365 Teaching Hospitals (Registration) Form and Instruction Modified
209364 Physicians (Registration) Form and Instruction Modified
209363 AM (Registration) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2021
78,812 78,812
1,897,790 1,897,790
0 0





Reginfo record details
18
table that charts list of burden
IC Title Form No. Form Name
Applicable GPO (Registration) CMS-10495 Registration
Applicable GPO (Assumptions Document) CMS-10495 Assumptions
Dispute Resolution and Correction (AM) CMS-10495, CMS-10495 Review and Dispute Screen Shots ,   Review and Dispute Email Notifications
Dispute and Resolution Correction (Teaching Hospitals) CMS-10495, CMS-10495 Review and Dispute Email Notifications ,   Review and Dispute Screen Shots
Dispute Resolution and Correction (Physicians) CMS-10495, CMS-10495 Review and Dispute Email Notifications ,   Review and Dispute Screen Shots
AM (Registration) CMS-10495 Registration
Physicians (Registration) CMS-10495 Registration
Teaching Hospitals (Registration) CMS-10495 Registration
AM (Record Retention)
AM (Attestation) CMS-10495 Attestation
AM (Assumptions Document) CMS-10495 Assumptions
AM (Data Collection and Submission) CMS-10495, CMS-10495 General-Research-Ownership Submission Data Elements and Screen Shots ,   Open Payments User Guide
Standardizing Data on Reported Products
Applicable GPO (Attestation) CMS-10495 Attestation
Modifying Nature of Payment Categories
Applicable GPO (Record Retention)
GPO Dispute and Resolution Correction CMS-10495, CMS-10495 Review and Dispute Screen Shots ,   Review and Dispute Email Notifications
Applicable GPO (Data Collection and Submission) CMS-10495, CMS-10495 Open Payments User Guide ,   General-Research-Ownership Submission Data Elements Screen Shots

table that charts list of burden
  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 78,812 78,812 0 0 0 0
Annual Time Burden (Hours) 1,897,790 1,897,790 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No