Information Collection Request
Quality Bonus Payment Appeals (CMS-10346)
ICR 202401-0938-007 · OMB 0938-1129 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
| Form and Instruction | Modified | Repair queued | |
| Supporting Statement A | Uploaded 2024-01-19 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 195883 | Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1129 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202012-0938-011 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |