Information Collection Request
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)
ICR 202404-0938-002 · OMB 0938-0931 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0931 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Justification for No Material/Nonsubstantive Change | 2024-04-02 |
Supporting Statement A | 2020-11-10 |
Form CMS-10114 National Provider Identifier (NPI) Application
Non-sub Change Request Memo (NPPES Gender and Practice Location).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 37925 | Modified | ||
| 179125 | Modified |
National Provider Identifier (NPI) ApplicationICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0931 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202011-0938-004 |
| Agency Tracking No | CPI - 10114 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |