Information Collection Request

Dispute Resolution for Discarded Drug Refunds (CMS-10835)

ICR 202408-0938-007 · OMB 0938-1435 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10835 - Supporting Statement A (CMS-1784-F version 6).docx Supporting Statement A Uploaded 2024-08-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
267802 Applications: Subsequent Years Unchanged
267801 Applications: Initial Year Unchanged
256302 Error Report Submission Unchanged

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1435
Revision of a currently approved collection
202405-0938-018
CM-FFS
1969-12-31
1969-12-31