Provider Network Coverage - Notice to Enrollees

Provider Network Coverage Data Collection (CMS-10594)

OMB: 0938-1302

IC ID: 219312

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

Provider Network Coverage - Notice to Enrollees
No Modified
Required to Obtain or Retain Benefits
45 CFR 156.156(f)

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

Health Health Care Services


374 0
Private Sector Not-for-profit institutions, Businesses or other for-profits
   0 %

  Approved 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 205,001 0 0 -56,789 0 261,790
Annual IC Time Burden (Hours) 20,500 0 0 3,061 0 17,439
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 | Privacy Policy