Information Collection

Reinstatement of Previously Approved GenICs

IC 271238 under ICR 202409-0938-028 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Misc (see spreadsh Reinstatement of Previously Approved GenICs	Form and Instruction
Misc (see spreadsh Misc (see spreadsheet) CMS-10398 - Reinstatement of Previously Approved GenICs (2024 version 6).docx	Form and Instruction
Misc (see spreadsh Misc (see spreadsheet) CMS-10398 - Reinstatement of Previously Approved GenICs (2024 version 6).docx	Form and Instruction

IC Title:

Reinstatement of Previously Approved GenICs

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Misc (see spreadsheet)	Misc (see spreadsheet)	CMS-10398 - Reinstatement of Previously Approved GenICs (2024 version 6).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,541	6,541
Annual IC Time Burden (Hours)	80,232	80,232
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.