Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA

ICR 202405-0938-025

OMB: 0938-1474

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10858 Rebate Reduction Extension Request Form Form and Instruction	New
Form CMS-10858 Rebate Reduction Request Form Form and Instruction	New
CMS-10858_Supporting Statement_Rebate Reduction Requests.docx Supporting Statement A	2024-06-04
Final clean 30 day notice Rebate Reduction Requests ICR Comment Summary Responses.docx Supplementary Document	2024-06-04
508_Final clean 60 to 30 Day Rebate Reduction Requests ICR Cross Walk_2.docx Supplementary Document	2024-06-04

IC Document Collections

IC ID	Document Title	Status
268249	Rebate Reduction Extension Request Form Form and Instruction	New
268246	Rebate Reduction Request Form Form and Instruction	New