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

View Information Collection (IC)

DE Entity Operational Readiness Review (ORR) CCIIO - 10877
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.221

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10877 Yes No Paper Only
Form and Instruction CMS-10877 Yes Yes Fillable Fileable
Instruction Yes No Paper Only
Form and Instruction CMS-10877 Yes No Fillable Printable
Form and Instruction CMS-10877 Yes Yes Paper Only
Form and Instruction CMS-10877 Yes No Fillable Fileable
Form and Instruction CMS-10877 Yes No Fillable Fileable
Form and Instruction CMS-10877 Yes No Fillable Fileable
Form and Instruction CMS-10877 Yes Yes Fillable Fileable
Form and Instruction CMS-10877 Yes Yes Fillable Fileable
Form CMS-10877 Yes No Fillable Fileable
Form and Instruction CMS-10877 Yes No Fillable Fileable
Form and Instruction CMS-10877 Yes No Fillable Fileable

Health Health Care Services

 

95 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 95 95 0 0 0 0
Annual IC Time Burden (Hours) 2,689 2,689 0 0 0 0
Annual IC Cost Burden (Dollars) 200,372 200,372 0 0 0 0

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