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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.