Information Collection

Traditional NTAP Pathway

IC 227314 under ICR 202605-0938-002 · OMB 0938-1347.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10638 New Technology Add-On Payments (NTAP) Application Traditional NTAP Pathway	Form and Instruction
CMS-10638 New Technology Add-On Payments (NTAP) Application NTAP Application Changes for PRA Revision (2026-2-3 clean).docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

CM-OM

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	CMS-10638				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17	-15	32
Annual IC Time Burden (Hours)	680	-600	1,280
Annual IC Cost Burden (Dollars)	0	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.

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