View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0931	ICR Reference No: 202011-0938-004
Status: Historical Active	Previous ICR Reference No: 201711-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI - 10114
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: 08/10/2021
	Date Received in OIRA: 11/10/2020
Terms of Clearance: Please submit a non-substantive change updating the burden estimate on Form 0938-0931 and updating the supporting statements with information about the relevant System of Records Notice.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	36 Months From Approved	08/31/2021
Responses	996,042	0	1,418,345
Time Burden (Hours)	169,327	0	482,238
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): EO: EO 12600 Name/Subject of EO: Predisclosure Notification Procedures for Confidential Commercial Information
   US Code: 31 USC 7701(c) Name of Law: Tax Payer Identification Number
   PL: Pub.L. 109 - 220 508 Name of Law: Rehabilitation Act of 1973 as incorporated with the Americans With Disabilities Act of 2005
   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

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	996,042	1,418,345	-422,303
Annual Time Burden (Hours)	169,327	482,238	-312,911
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 new estimates for completing the CMS-10114 (The National Provider Identifier Application/Update Form) for initial applications and reporting updates in initial application are taken directly from the actual applications processed for calendar year 2019 in NPPES and therefore more accurate than the prior estimates. In addition, CMS assessed (via NPPES) how many providers are currently using the CMS-10114 to update their initial application information. Those assessed providers were added to the current burden estimates. This decreased the number of respondents by 477,143 (1,473,185 to 996,042). In addition, the prior burden was based on an application completion time of .24 hours (20 minutes); however, the completion time has been reduced to .17 hours (10 minutes). The reduction in completion time reduced the burden hours by 312,911 hours (from 482,238 to 169,327).

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. Yes

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. Yes

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? No

Agency Contact: Jamaa Hill 301 492-4190

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