OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Provider Identifier (NPI) Application

IC 37925 under ICR 202604-0938-010 · OMB 0938-0931.

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

View Information Collection (IC)

National Provider Identifier (NPI) Application
 
No Modified
 
Mandatory
 
45 CFR 142.408 45 CFR 162.408 45 CFR 162.406

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10114 NPI Application and Update Form CMS-10114_NPI Application Update Form_clean 3.24.26.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

511,699 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   98 %

  Approved 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 511,699 0 0 0 0 511,699
Annual IC Time Burden (Hours) 168,861 0 0 0 0 168,861
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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