OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Alternative NTAP Pathway

IC 262237 under ICR 202605-0938-002 · OMB 0938-1347.

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

View Information Collection (IC)

Alternative NTAP Pathway CM-OM
 
No Modified
 
Voluntary
 

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 Overview NTAP Application Changes for PRA Revision (2026-2-3 clean).docx Yes Yes Fillable Fileable

Health Health Care Services

 

30 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested 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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 375 0 0 0 0 375
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FY_2018_New_Technology_Application.docx 06/28/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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