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Access and Recertification
CMS Identity Management System (CMS-10452)
OMB: 0938-1236
IC ID: 208567
OMB.report
HHS/CMS
OMB 0938-1236
ICR 202106-0938-003
IC 208567
( )
Documents and Forms
Document Name
Document Type
CMS IDM User Guide_508.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Access and Recertification
Agency IC Tracking Number:
OIT
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
CMS IDM User Guide_508.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
560,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
560,000
0
0
0
560,000
0
Annual IC Time Burden (Hours)
186,667
0
0
0
186,667
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
