OMB control number
Detailed Explanation of Non-Coverage (42 CFR 422.626(e)(1)), and Notice of Medicare Non-Coverage (42 CFR 422.624(b)(1))
OMB 0938-0910 · HHS/CMS.
OMB 0938-0910
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10095-NOMNC508-2010 spa_CMS edits 06-01-11-FINAL.docx | Supplementary Document |
| CMS-10095-DENC508-2010 spa_CMS edits 06-01-11-FINAL.docx | Supplementary Document |
| Crosswalk -- Changes to NOMNC-DENC-SPANISH VERSIONS.docx | Supplementary Document |
| Justification of Non-material change.docx | Justification for No Material/Nonsubstantive Change |
| NOMNCtrackchanges508.docx | Supplementary Document |
| NOMNCforminstructionstrackchanges508.docx | Supplementary Document |
| DENCtrack changes508.docx | Supplementary Document |
| DENCforminstructionstrackchanges508.docx | Supplementary Document |
 Supporting Statement - CMS-10095508 - 2010.doc | Supporting Statement A |
 Detailed Explanation of Non-Coverage (42 CFR 422.626(e)(1)): DENC |
Instruction |
| Notice of Medicare Non-Coverage (42 CFR 422.624(b)(1)) : NOMNC (CMS-10095) |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201106-0938-017 | No material or nonsubstantive change to a currently approved collection | 2011-06-20 | Approved without change | |
| 201011-0938-009 | No material or nonsubstantive change to a currently approved collection | 2010-11-15 | Approved without change | |
| 201008-0938-004 | Revision of a currently approved collection | 2010-08-10 | Approved without change | |
| 200902-0938-003 | No material or nonsubstantive change to a currently approved collection | 2009-02-06 | Approved without change | |
| 200808-0938-002 | No material or nonsubstantive change to a currently approved collection | 2008-08-08 | Approved without change | |
| 200703-0938-013 | Extension without change of a currently approved collection | 2007-03-23 | Approved without change | |
| 200311-0938-008 | New collection (Request for a new OMB Control Number) | 2003-11-26 | Approved with change |