This collection
is approved for 9 months in accordance with the following terms of
clearance: CMS will provide OMB within 2 months from the date of
clearance a briefing and written analysis on the feasibility of
removing the request for a providers SSN on the application. OMB
requests CMS provide the following information: 1. Alternative
methods (other than the use of a SSN, in whole or in part) for
verifying and matching the identity of individual providers
requesting an NPI or updating information associated with their NPI
. 2. The cost and systems redesign that would be required to remove
the use of the SSN (in whole or part). Please discuss costs and
system redesigns associated with implementing an alternate
method(s) of verifying providers' identities. This analysis should
estimate costs to the program each year over 5 years.
Inventory as of this Action
Requested
Previously Approved
02/29/2008
36 Months From Approved
02/29/2008
325,680
0
1,193,945
108,560
0
448,128
0
0
0
The form will be used by health care
providers to apply for NPIs and to update the information collected
from them whenever it changes.
The NPI Application/Update form
has been revised to further assist in uniquely identifying health
care providers and provide additional guidance on how to accurately
complete the form. Specifically, the form captures additional
information regarding reactivations, sole proprietors, and
organization subparts. Other minor changes include adding check
boxes to clarify changes of information (i.e., check boxes for Add
Information and Replace Information), changing the URL located
under Section 5 to reflect the accurate web address, and other
minor revisions. This collection also includes more detailed
instructions.
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Saleda Perryman
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form CMS-10114 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.MedcoComments(2-15-07).pdf
CMS-10114.WEDI Public Comments (2-19-07).doc
National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406