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 0 0 Instruction
Instruction
Instruction
Instruction
Electronic Data Interchange (EDI) Agreement Unchanged 201 17 0 Form CMS-10340
Encounter Data Submission Modified 1467645179 48921506 0 Instruction
Instruction
Instruction
Reviewing Encounter Data Submission Guidance Modified 900 14400 0 Instruction
Instruction
Instruction
Submitter Application and Instructions Modified 19 3 0 Form and Instruction CMS-10340
Submitter Authorization Form Modified 181 30 0 Form CMS-10340
Total burden requested under this ICR: 1467646492 48936076 0  
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