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Physicians (Registration)
Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)
OMB: 0938-1237
IC ID: 209364
OMB.report
HHS/CMS
OMB 0938-1237
ICR 202407-0938-016
IC 209364
( )
Documents and Forms
Document Name
Document Type
Form CMS-10495
Physicians (Registration)
Form and Instruction
CMS-10495 Registration
CMS-10495 - Registration-Physicians-Hospitals-AMs-GPOs - data elements and screen shots 9.23.2020 - 508 cf.pdf
Form and Instruction
Information Collection (IC) Details
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