Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105 (CMS-R-64)

Documents and Forms

Document Name Document Type
IRIS XML FTE Calculations.pdf Instruction
IRIS XML FTE Calculations.pdf Instruction
IRIS XML General Instructions.pdf Instruction
IRIS XML General Instructions.pdf Instruction

Information Collection (IC) Details

IC Title:	Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 412.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			IRIS XML FTE Calculations.pdf		Yes	Yes	Fillable Printable
Instruction			IRIS XML General Instructions.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,245	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,245	1,245
Annual IC Time Burden (Hours)	2,490	2,490
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.