Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AM and Applicable GPO (Assumptions Document) Unchanged 1570 1570 0 Form and Instruction CMS-10495 Assumptions
AM and Applicable GPO (Attestation) Unchanged 1570 1570 0 Form and Instruction CMS-10495 Attestation
AM and Applicable GPO (Record Retention) Modified 1570 393 0 Instruction
AM and Applicable GPO (Registration) Unchanged 1570 10990 0 Form and Instruction CMS-10495 AM and AGPO Registration
Dispute Resolution and Correction (Physicians) New 224425 1346550 0 Form and Instruction CMS-10495 Dispute Resolution and Correction
Dispute and Resolution Correction (Teaching Hospitals) New 1162 139440 0 Form and Instruction CMS-10495 Dispute Resolution and Correction
Physicians (Registration) Unchanged 224425 1458763 0 Form and Instruction CMS-10495 Physician Registration
Teaching Hospitals (Registration) Unchanged 1162 140021 0 Form and Instruction CMS-10495 Teaching Hospitals Registration
Total burden requested under this ICR: 457454 3099297 0  
To view an IC, click on IC Title