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

View Information Collection (IC)

LAN Documents (CMS-10606, CMS-10607 and CMS-10608)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10606 Speaker Request Form CMS- 10606 GenIC4 Instrument - Speaker Request Form.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10608 Webinar Registration - LAN update CMS-10608 GenIC6 Instrument - Webinar Registration Form.pptx Yes Yes Fillable Fileable
Form and Instruction CMS-10607 Webinar Registration - LAN Learning CMS- 10607 GenIC5 Instrument - Webinar Registration Form.pptx Yes Yes Fillable Fileable

Health Health Care Services

 

13,224 2,645
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 13,224 0 13,224 0 0 0
Annual IC Time Burden (Hours) 666 0 666 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0938-1297 Burden Table for GenICs 4 5 and 6 0938-1297 Burden Table for GenICs 4 5 and 6.docx 03/07/2016
CMS-10606 Supporting Statement CMS-10606 GenIC4 Speaker Request Form v2.docx 03/14/2016
CMS-10607 Supporting Statement CMS-10607 GenIC5 Webinar Registration - LAN Learnings v2.docx 03/14/2016
CMS-10608 Supporting Statement CMS-10608 GenIC6 Webinar Registration - LAN Updates v2.docx 03/14/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.