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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
OMB.report
HHS/CMS
OMB 0938-1474
ICR 202405-0938-025
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1474 can be found here:
2024-07-19 - No material or nonsubstantive change to a currently approved collection
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
ICR Details
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