Medicare EDI Enrollment Form and EDI Registration (CMS-10164 A/B)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS10164B CMS10164B	Form	Modified	Available
Form CMS-10164A CMS-10164A	Form	Modified	Available
Form CMS-10164A Medicare EDI Enrollment Form and EDI Registration	Form	Modified	Repair queued
CMS-10164 A&B.Supporting Statement Part A (final).docx	Supporting Statement A	Uploaded 2024-05-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
8845	Medicare EDI Enrollment Form and EDI Registration	Form	Modified	CMS10164B
8845	Medicare EDI Enrollment Form and EDI Registration	Form	Modified	CMS-10164A
8845	Medicare EDI Enrollment Form and EDI Registration	Form	Modified

ICR Details

OMB Control No: 0938-0983	ICR Reference No: 202405-0938-014
Status: Active	Previous ICR Reference No: 201902-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: CM
Title: Medicare EDI Enrollment Form and EDI Registration (CMS-10164 A/B)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/26/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/15/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	36 Months From Approved
Responses	1,181,209	0	0
Time Burden (Hours)	393,736	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Federal law requires that CMS minimize the security risk to federal information systems. CMS is requiring that trading partners who wish to conduct the Electronic Data Interchange (EDI) transactions provide certain assurance as a condition of receiving access to the Medicare system for the purpose of conducting EDI exchanges. Health care providers, clearinghouses, and health plans that wish access to the Medicare system are required to complete this form. The information will be used to assure that those entities that access the Medicare system are aware of applicable provisions and penalties.

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Authorizing Statute(s): PL: Pub.L. 104 - 191 262 Name of Law: Administrative Simplification
   PL: Pub.L. 104 - 191 261 Name of Law: Purpose
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 13721	02/23/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 40485	05/10/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Medicare EDI Enrollment Form and EDI Registration	CMS-10164A, CMS10164B	CMS-10164A ,   CMS10164B

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	1,181,209	0	0	987,941	0	193,268
Annual Time Burden (Hours)	393,736	0	0	329,313	0	64,423
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The per task burden remains unchanged; however the total burden has been adjusted to account for the availability of better data. Also, the cost burden has been updated based on current BLS wage data.

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Annual Cost to Federal Government: $2,513

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/15/2024

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