AM (Data Collection and Submission)

Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)

OMB: 0938-1237

IC ID: 230225

Documents and Forms

Document Name Document Type
Form CMS-10495 AM (Data Collection and Submission) Form and Instruction
CMS-10495 Open Payments User Guide Open Payments User Guide_for_Reporting_Entities - 508 Compliant cf 1-31.pdf Form and Instruction
CMS-10495 General-Research-Ownership Submission Data Elements and Screen Shots General-Research-Ownership Submission Data Elements 9.23.2020 - 508 new.pdf Form and Instruction