Retrospective Appeal Requests (CMS-10885)
ICR 202401-0938-013
OMB: 0938-1466
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1466 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2024-01-26 |
CMS-10885 - Supporting Statement A (CMS-4204-P version 3 (updated).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 264664 | New |
Retrospective Appeal RequestsICR Details
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