National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749)

ICR 202208-0938-006

OMB:

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2022-08-04
Supplementary Document
2022-08-04
Supporting Statement A
2022-08-04
IC Document Collections
IC ID
Document
Title
Status
255148
New
255147
New
ICR Details
202208-0938-006
Received in OIRA
HHS/CMS CPI
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749)
Existing collection in use without an OMB Control Number   No
Regular 08/04/2022
  Requested Previously Approved
36 Months From Approved
712,964 0
121,204 0
0 0

The National Provider Identifier Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The original application form was approved in February 2005 and has been in use since May 23, 2005. The form is available on paper or can be completed via a web-based process. Health care providers can mail a paper application, complete the application via the web-based process via the National Plan and Provider Enumeration System (NPPES), or have a trusted organization submit the application on their behalf via the Electronic File Interchange (EFI) process. The Enumerator uses the NPPES to process the application and generate the NPI. NPPES is the Medicare contractor tasked with issuing NPIs, and maintaining and storing NPI data. The National Provider Identifier (NPI) Application processes over 1 million new provider and/or updates to existing application annually.

PL: Pub.L. 112 - 240 3101 Name of Law: Public Health Service Act
   PL: Pub.L. 114 - 255 4004 Name of Law: 21st Century Cures Act
  
None

Not associated with rulemaking

  85 FR 65814 10/16/2020
86 FR 13719 03/10/2021
Yes

2
IC Title Form No. Form Name
NPPES WEB Application
NPPES Web Application (EFI process)

  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 712,964 0 0 712,964 0 0
Annual Time Burden (Hours) 121,204 0 0 121,204 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is an existing information collection that has been in use without an OMB control number.

$0
No
    No
    No
No
No
No
No
Jamaa Hill 301 492-4190

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/04/2022


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