OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Care Consumer Feedback on Open Payments National Transparency Program (Open Payments) (CMS-10827)

IC 283017 under ICR 202610-0938-001 · OMB 0938-1185.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CMS-10827
2 - CMS-10827. Recruitment Guide - Open Payments Consumer (revised) Health Care Consumer Feedback on Open Payments National Transparency Program (Open Payments) (CMS-10827)		 Form and Instruction
Form CMS-10827
3 - CMS-10827. Consent Form - Open Payments Consumer (revised) Health Care Consumer Feedback on Open Payments National Transparency Program (Open Payments) (CMS-10827)		 Form and Instruction
Form CMS-10827
CMS-10827. Mod Guide A - Open Payments Consumer (revised) Health Care Consumer Feedback on Open Payments National Transparency Program (Open Payments) (CMS-10827)		 Form and Instruction
Form CMS-10827
5 - CMS-10827. Mod Guide B - Open Payments Consumer (revised) Health Care Consumer Feedback on Open Payments National Transparency Program (Open Payments) (CMS-10827)		 Form and Instruction
CMS-10827 2 - CMS-10827. Recruitment Guide - Open Payments Consume
2 - CMS-10827. Recruitment Guide - Open Payments Consumer (revised).docx 		Form and Instruction
CMS-10827 3 - CMS-10827. Consent Form - Open Payments Consumer (re
3 - CMS-10827. Consent Form - Open Payments Consumer (revised).docx 		Form and Instruction
CMS-10827 CMS-10827. Mod Guide A - Open Payments Consumer (revised
4 - CMS-10827. Mod Guide A - Open Payments Consumer (revised).docx 		Form and Instruction
CMS-10827 5 - CMS-10827. Mod Guide B - Open Payments Consumer (rev
5 - CMS-10827. Mod Guide B - Open Payments Consumer (revised).docx 		Form and Instruction
1 - CMS-10827. Generic Submission Template - Open Payments Consumer (revised).docx
1 - CMS-10827. Generic Submission Template - Open Payments Consumer (revised)		IC Document
6 - CMS-10827. Fact Sheet - Open Payments Consumer (revised).docx
6 - CMS-10827. Fact Sheet - Open Payments Consumer (revised)		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-10827 Yes No Fillable Fileable
Form and Instruction CMS-10827 Yes No Fillable Fileable
Form and Instruction CMS-10827 Yes No Fillable Fileable
Form and Instruction CMS-10827 Yes No Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 200 0 200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
1 - CMS-10827. Generic Submission Template - Open Payments Consumer (revised) 10/13/2026
6 - CMS-10827. Fact Sheet - Open Payments Consumer (revised) 10/13/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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