Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HIPAA Administrative Simplification Non-Privacy Enforcement Modified 167 167 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
HIPAA Administrative Simplification Non-Privacy Enforcement New 166 166 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
HIPAA Administrative Simplification Non-Privacy Enforcement New 167 167 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
Total burden requested under this ICR: 500 500 0  
To view an IC, click on IC Title