Information Collection Request

[Medicaid] Identifying Medicaid Payment for Physician Administered Drugs (CMS-10215)

ICR 202404-0938-008 · OMB 0938-1026 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10215 - Supporting Statement Part A (2024 version 5).docx Supporting Statement A Uploaded 2024-04-12 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181535 Identifying Medicaid Payment for Physician Administered Drugs Modified

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1026
Extension without change of a currently approved collection
202107-0938-005
CMCS
1969-12-31
1969-12-31