Information Collection Request
Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) (CMS-10798)
ICR 202210-0938-008 · OMB 0938-1428 · PreApproved
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1428 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 254490 |  Application for Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID) |
Modified |
ICR Details
| Status | PreApproved |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1428 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Previous ICR Reference No | 202207-0938-003 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 2022-10-28 |
| Requested Expiration Date | 1969-12-31 |