OMB control number
Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration (CMS-10421)
OMB 0938-1169 · HHS/CMS.
OMB 0938-1169
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10421 - Supporting Statement 30day.docx | Supporting Statement A |
 Signature Attestation |
Information collection |
| PMD Demonstration |
Information collection |
| Recovery Auditor Pre-payment review Demonstration |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201802-0938-005 | Reinstatement without change of a previously approved collection | 2018-02-07 | Withdrawn | |
| 201412-0938-011 | Extension without change of a currently approved collection | 2014-12-30 | Approved without change | |
| 201406-0938-003 | Revision of a currently approved collection | 2014-06-09 | Approved without change | |
| 201312-0938-007 | No material or nonsubstantive change to a currently approved collection | 2013-12-09 | Withdrawn and continue | |
| 201205-0938-011 | New collection (Request for a new OMB Control Number) | 2012-05-31 | Approved with change |