Information Collection Request
Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA
ICR 202405-0938-025 · OMB 0938-1474 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1474 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10858 Rebate Reduction Extension Request Form |
Form and Instruction | New | Repair queued |
| Form CMS-10858 Rebate Reduction Request Form |
Form and Instruction | New | Repair queued |
 CMS-10858_Supporting Statement_Rebate Reduction Requests.docx |
Supporting Statement A | Uploaded 2024-06-04 | Repair queued |
| Final clean 30 day notice Rebate Reduction Requests ICR Comment Summary Responses.docx |
Supplementary Document | Uploaded 2024-06-04 | Repair queued |
| 508_Final clean 60 to 30 Day Rebate Reduction Requests ICR Cross Walk_2.docx |
Supplementary Document | Uploaded 2024-06-04 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 268249 |  Rebate Reduction Extension Request Form |
Form and Instruction | New | |
| 268246 | Rebate Reduction Request Form |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1474 |
| 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 |