Information Collection

Traditional NTAP Pathway

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Traditional NTAP Pathway	Agency IC Tracking Number:	CM-OM

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	CMS-10638	New Technology Add-On Payments (NTAP) Application	NTAP Application Changes for PRA Revision (2026-2-3 clean).docx		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 %

	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

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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