Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HIPAA Administrative Simplification Non-Privacy Enforcement Removed 0 0 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
HIPAA Administrative Simplification Non-Privacy Enforcement Removed 0 0 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
HIPAA Administrative Simplification Non-Privacy Enforcement Removed 0 0 0 Form CMS-10148 CMS-10148 - HIPAA Non-Privacy Complaint Form
Instruction
Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification (A.S.) Complaint Form New 500 500 0 Form CMS-10148 CMS-10148 HIPAA Non-Privacy Paper Complaint Form FINAL 2-14-17.doc
Instruction
Total burden requested under this ICR: 500 500 0  
To view an IC, click on IC Title