OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare Program: Process for Making National Coverage Determinations (CMS-R-290)

OMB 0938-0776 · HHS/CMS.

OMB 0938-0776

These information collection requirements provide the process CMS uses to make a national coverage decision for a specific item or service under sections 1862 and 1871 of the Social Security Act. This streamlines our decision making process and increases the opportunities for public participation in making national coverage decisions.

The latest form for Medicare Program: Process for Making National Coverage Determinations (CMS-R-290) expires 2028-03-31 and is listed under ICR 202412-0938-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-R-290 CMS-R-290 Collection RequirementsForm and Instruction
Form CMS-R-290 (CMS-R-290) Medicare Program: Revised Procedures for Making National Coverage DeterminationsForm and Instruction
CMS-R-290 Final Supporting Statement - 8.23.24 clean.docxSupporting Statement A
CMS-R-290 Final Supporting Statement - 8.23.24 clean.docxSupporting Statement A
(CMS-R-290) Medicare Program: Revised Procedures for Making National Coverage Determinations Form and Instruction
(CMS-R-290) Medicare Program: Revised Procedures for Making National Coverage Determinations Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202412-0938-002 Reinstatement without change of a previously approved collection 2024-12-02
202006-0938-001 Reinstatement without change of a previously approved collection 2020-06-08
201608-0938-014 Extension without change of a currently approved collection 2016-08-29 Approved with change
201306-0938-001 Reinstatement without change of a previously approved collection 2013-06-05 Approved without change
200709-0938-008 Extension without change of a currently approved collection 2007-09-27 Approved without change
200406-0938-004 Extension without change of a currently approved collection 2004-06-24 Approved without change
200301-0938-006 Extension without change of a currently approved collection 2003-01-06 Approved with change
199907-0938-005 New collection (Request for a new OMB Control Number) 1999-07-12 Approved without change