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

View Information Collection (IC)

Compliance Review
 
No Modified
 
Mandatory
 
45 CFR 160.310 45 CFR 160.308

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10662 ASETT_Assessment_All_Operating_Rule_Response_Attestation ASETT_cms 10662_Operating_Rule_Response_Attestation_FINAL_2023_.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10662 ASETT_Notice of Assessment_Package 2023 CMS-10662_Notice of Assessment_Final_508_ 2023.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

50 0
   
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 50 0 0 40 0 10
Annual IC Time Burden (Hours) 500 0 0 400 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ASETT_Assessment_Follow_Up_Request_For_Information_Letter_ CMS-10662_ASETT_Assessment_Follow Up Request_For_Information_Letter_Final_508_2023.pdf 02/08/2024
ASETT_Assessment_Final_Assessment_Report_ CMS-10662_ASETT_Assessment_Notice of Final_Assessment _Final_508_2023.pdf 02/08/2024
ASETT_Assessment_Draft_Findings_Report CMS-10662_ASETT_Assessment_Notice of Draft Findings_Report_Final_508_2023.pdf 02/08/2024
Notice of Compliance Review ASETT_CMS 10662_ Notice of Compliance Review_2023_FINAL.pdf 02/08/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.