Information Collection Request

Transparency Reports and Reporting of Physician Ownership or Investment Interests

ICR 201207-0938-002 · OMB 0938-1173 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10442 Applicable Manufacturers and Applicable GPOs Form and Instruction New Available
PRA_6002_Supporting_Statement_-_Part_A1 (Dec11).doc Supporting Statement A Uploaded 2012-07-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
203245 Applicable Manufacturers and Applicable GPOs Form and Instruction New

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0





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IC Title Form No. Form Name
Applicable Manufacturers and Applicable GPOs CMS-10442 Reporting Templates



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