Information Collection

NTAP Application in MEARIS

IC 227314 under ICR 202204-0938-009 · OMB 0938-1347.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1347 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10638 NTAP Application in MEARIS	Form
CMS-10638 New Technology Application NTAP Application FY2024.pdf	Form
CMS-10638 New Technology Application NTAP Application FY2024.pdf	Form

IC Title:

NTAP Application in MEARIS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	CMS-10638	New Technology Application	NTAP Application FY2024.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 62

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	1,655	1,655
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.