Information Collection

Reinstatement of Previously Approved GenICs

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reinstatement of Previously Approved GenICs	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	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

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.