Information Collection Request
Retrospective Appeal Requests (CMS-10885)
ICR 202401-0938-013 · OMB 0938-1466 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1466 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10885 - Supporting Statement A (CMS-4204-P version 3 (updated).docx |
Supporting Statement A | Uploaded 2024-01-26 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 264664 |  Retrospective Appeal Requests |
New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1466 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |