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

View Information Collection (IC)

Connect: Direct Applications for RAPS, Encounter, PDE, and MMP
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only
Instruction Yes Yes Printable Only

Health Health Care Services

CMS Encounter Data System (EDS)  83 FR 6591

9 0
   
Private Sector 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 9 0 0 0 0 9
Annual IC Time Burden (Hours) 0 0 0 -1 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Enc Connect Direct Form Redline 03/14/2024
Redline_PDE Connect Direct Form 06/27/2024
Red Lined _ MMP Connect Direct Form 06/27/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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