Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Data Management Plan Self-Attestation Questionnaire (DMP SAQ)
New
1000
1500
0
Form and Instruction
CMS-R-235
Data Management Plans Self Attestation Questionnaire (DMP SAQ)
Forms used to update the DUA Information
New
5600
952
0
Form and Instruction
CMS-R-235
Data Use Agreement (DUA) Signature Addendum
Form and Instruction
CMS-R-235
DUA Update to Existing Data Use Agreement
Form and Instruction
CMS-R-235
DUA Certificate of Disposition
Limited Data Set Data Use Agreement (DUA)
New
350
175
0
Form and Instruction
CMS-R-235
Limited Data Set Data Use Agreement (DUA)
RIF Request Packet
Modified
2705
1249
0
Form and Instruction
CMS-R-235
Data Use Agreement (DUA)
Form and Instruction
CMS-R-235
RIF Request Application
Form and Instruction
CMS-R-235
State Agency Supplement
Form and Instruction
CMS-R-235
Innovator Supplement
Form and Instruction
CMS-R-235
Collaborator Supplement
Form and Instruction
CMS-R-235
Key Personnel Supplement
Form and Instruction
CMS-R-235
Amendment Request Form
Total burden requested under this ICR:
9655
3876
0
To view an IC, click on IC Title