Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Complete Certification Unchanged 3 120 0
Connect: Direct Applications for RAPS, Encounter, PDE, and MMP Modified 9 1 0 Instruction
Instruction
Instruction
Instruction
Electronic Data Interchange (EDI) Agreement Unchanged 201 17 0 Form CMS-10340
Encounter Data Submission Unchanged 1068204429 35606814 0 Instruction
Reviewing Encounter Data Submission Guidance Unchanged 733 11728 0 Instruction
Submitter Application and Instructions Unchanged 50 7 0 Form and Instruction CMS-10340
Submitter Authorization Form Unchanged 430 72 0 Form CMS-10340
Total burden requested under this ICR: 1068205855 35618759 0  
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