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

View Information Collection (IC)

LAN Documents (CMS-10602, CMS-10603 and CMS-10604)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10603 LAN Summit Abstract Submission CMS-10603 GenIC2 Instrument - LAN Summit Abstract Submission.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10604 LAN Registration Form CMS-10604 GenIC3 Instrument - LAN Registration Form.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10602 LAN Summit Registration Form CMS-10602 LAN Summit Registration Updated.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

4,850 128
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 4,850 0 4,850 0 0 0
Annual IC Time Burden (Hours) 648 0 648 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10602 Supporting Statement CMS - 10602 GenIC1 LAN Summit Registration Form.docx 02/11/2016
CMS-10603 Supporting Statement CMS- 10603 GenIC2 LAN Summit Abstract Submission Form.docx 02/11/2016
Burden Table for GenIC #1, 2 and 3 0938-1297 Burden Table for GenICs 1 2 and 3.docx 02/11/2016
CMS-10604 Supporting Statement CMS- 10604 GenIC3 LAN Registration 2016.docx 02/11/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.