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OMB Control No: 0938-0931	ICR Reference No: 201711-0938-003
Status: Historical Active	Previous ICR Reference No: 201512-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/19/2018
	Date Received in OIRA: 11/15/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	1,418,345	0	608,880
Time Burden (Hours)	482,238	0	202,960
Cost Burden (Dollars)	0	0	0

Abstract: The National Provider Identifier (NPI) Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The form is available on paper or can be completed via a web-based process. An NPI is expected to last for the "life" of the health care provider (i.e., until the death of an individual or until the dissolution of an organization); therefore, a health care provider applies for an NPI only one time. A health care provider must furnish updates to the required information given in the application whenever changes occur to those data. Updates can be mailed or submitted electronically.

Authorizing Statute(s): US Code: 31 USC 7701(c) Name of Law: Tax Payer Identification Number
   US Code: 5 USC 522(b)(4) Name of Law: The Freedom of Information Act
   US Code: 45 USC 162.410(a)(1) through (a)(6) Name of Law: Implementation Specifications: Health Care Providers
   EO: EO 12600 Name/Subject of EO: Predisclosure Notification Procedures for Confidential Commercial Information
   PL: Pub.L. 109 - 220 508 Name of Law: Rehabilitation Act of 1973 as incorporated with the Americans With Disabilities Act of 2005

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32708	07/17/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 49612	10/26/2017
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Provider Identifier (NPI) Application	CMS-10114
National Provider Identifier (NPI) Application and Update Form	CMS-10114

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,418,345	608,880	809,465
Annual Time Burden (Hours)	482,238	202,960	279,278
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The total burden is 482,238 hours. Overall, the burden hours increased by a total of 279,278 hours (from 202,960 to 482,238). This is attributed to both the increased number of respondents and the increased time allotted per response. The number of respondents increased by 809,465 (from 608,880 to 1,418,345). This increase comes as a result of using more reliable data compiled from the National Provider Identifier Application (NPPES). The new estimates for completing the NPPES are now taken directly from the actual applications processed for calendar year 2016 in NPPES and are more accurate than the prior estimates. Previously, CMS relied solely on best guess estimates when estimating respondents. The existing figures are approximately 5 years out of date. Prior burden was based on different timing estimates as to how long it takes to complete the application. Previously, CMS estimated five minutes to complete the application. Based on updated data, CMS has increased the application completion time by 15 minutes (from 5 minutes to 20 minutes) in order for each respondent to read the instructions, review the Privacy Act Statement and complete the application. The time increase per respondent resulted in a burden hour increase of 202,366 hours (.25 hours x 809,464 respondents). In total, the annual cost has increased by $19,695,310 (from $1,622,304 to $21,297,614). Bureau of Labor Statistics (BLS) for May 2016, greatly increased the mean hourly wage for the general categories of "Office and Administrative Support Occupations" and” Health Diagnosing and Treating Practitioners" since the last review of this application form in 2014. The prior estimates did not include costs for “Health Diagnosing and Treating Practitioners” to review and sign the application, which increased the cost per application.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Jamaa Hill 301 492-4190

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