Information Collection Request
Dispute Resolution for Discarded Drug Refunds (CMS-10835)
ICR 202405-0938-018 · OMB 0938-1435 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1435 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10835 - Supporting Statement A (CMS-1784-P version 4).docx |
Supporting Statement A | Uploaded 2024-05-20 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 267802 |  Applications: Subsequent Years |
New | ||
| 267801 | Applications: Initial Year |
New | ||
| 256302 | Error Report Submission |
Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1435 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202303-0938-007 |
| Agency Tracking No | CM |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |