View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

SBC Disclosure
 
No Modified
 
Mandatory
 
45 CFR 147.200

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10407 Yes Yes Fillable Fileable
Form and Instruction CMS-10407 Yes Yes Fillable Fileable
Form and Instruction CMS-10407 Yes Yes Fillable Fileable
Form CMS-10407 Yes No Printable Only
Form and Instruction CMS-10407 Yes No Printable Only
Form and Instruction CMS-10407 Yes Yes Printable Only
Form and Instruction CMS-10407 Yes Yes Printable Only
Form and Instruction CMS-10407 Yes Yes Printable Only
Form and Instruction CMS-10407 Yes Yes Printable Only
Form and Instruction CMS-10407 Yes Yes Printable Only
Form and Instruction CMS-10407 Yes Yes Fillable Fileable
Form and Instruction CMS-10407 Yes Yes Fillable Fileable

Health Health Care Services

 

408 35
   
Private Sector Businesses or other for-profits
 
   54 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,927,928 0 0 0 0 15,927,928
Annual IC Time Burden (Hours) 322,411 0 0 0 0 322,411
Annual IC Cost Burden (Dollars) 1,592,793 0 0 0 0 1,592,793

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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