Information Collection

NPPES WEB Application

IC 255147 under ICR 202208-0938-006 · OMB 0938-1427.

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Information Collection (IC) Details

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IC Title:	NPPES WEB Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 170.401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: SORN 09-70-0555, National Plan and Provider Enumeration System (NPPES)	FR Citation: 83 FR 6591

Number of Respondents: 674,563	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	674,563	674,563
Annual IC Time Burden (Hours)	114,676	114,676
Annual IC Cost Burden (Dollars)	0	0

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