Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Connect: Direct Applications for RAPS, Encounter, PDE, and MMP New 2764 320 0 Instruction
Instruction
Instruction
Instruction
Electronic Data Interchange (EDI) Agreement New 691 57 0 Form CMS-10340
PRS Contract and Contact Verification Form New 691 57 0 Instruction
Risk Adjustment Data Submission Modified 769391164 18817 0 Instruction
Instruction
Instruction
Submitter Application and Instructions New 691 57 0 Form and Instruction CMS-10340
Submitter Authorization Form New 691 173 0 Form CMS-10340
Total burden requested under this ICR: 769396692 19481 0  
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