Request for Employment Information (CMS-R-297/CMS-L564)

ICR 202305-0938-015

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0787 can be found here:

Forms and Documents

Document Name	Status
Form CMS-R-297 (CMS-L56 Request for Employment Information Form and Instruction	Modified
CMS-R-297 (CMS-L564) - Supporting Statement A_.docx Supporting Statement A	2023-05-31
Justification for Collecting SSNs.doc Supplementary Document	2014-01-04

IC Document Collections

IC ID	Document Title	Status
8554	Request for Employment Information Form and Instruction	Modified

ICR Details