OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Chat/CCSQ Support Central – Basic information questions (CMS-10832)

IC 267557 under ICR 202405-0938-010 · OMB 0938-1397.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Chat/CCSQ Support Central – Basic information questions (CMS-10832)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10832 Support Central screen shots CMS-10832 Support Central Screen shot.docx Yes Yes Fillable Fileable

Health Health Care Services

 

10,155 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested 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 10,155 0 10,155 0 0 0
Annual IC Time Burden (Hours) 508 0 508 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement CMS-10832 Data Collection ICR 6.29.22.docx 05/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.