Encounter Data Submission

Collection of Encounter Data from MA Organizations, Section 1876 Cost HMOs/CMPs, MMPs, and PACE Organizations (CMS-10340)

OMB: 0938-1152

IC ID: 199936

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Encounter Data Submission
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 422.310

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction ED_Submission_Processing_Guide_20201009.pdf No   Fillable Printable

Health Health Care Services

CMS Encounter Data System (EDS)  83 FR 6591

733 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested 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 1,068,204,429 0 0 298,813,265 0 769,391,164
Annual IC Time Burden (Hours) 35,606,814 0 0 35,587,997 0 18,817
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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