Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form New 20000 5000 0 Form and Instruction CMS-10220
Form and Instruction CMS-10220
Provider Enrollment Chain and Ownership System (PECOS) Web Security Consent Form New 157500 39375 0 Form and Instruction CMS-10220
Form and Instruction CMS-10220
Total burden requested under this ICR: 177500 44375 0  
To view an IC, click on IC Title