Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business Associate Privacy Agreement Modified 1420 237 0 Form and Instruction CMS-10199
Data Collection for Medicare Facilities Performing Carotid Artery Stenting with Embolic Protection in Patients at High Risk for Carotid Endarterectomy Modified 2840 29820 0 Instruction
Form CMS-10199
Instruction
Total burden requested under this ICR: 4260 30057 0  
To view an IC, click on IC Title