OMB control number
Executive Summary Form for Research Identifiable Data (CMS-10522)
OMB 0938-1276 · HHS/CMS.
OMB 0938-1276
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10522 Executive Summary for Research Identifiable Data (Private Sector) | Form and Instruction |
| Form CMS-10522 Executive Summary for Research Identifiable Data (State, Local, Tribal Gov't) | Form and Instruction |
 508_CMS-10522_Supporting_Statement_Part_A.docx | Supporting Statement A |
 Executive Summary for Research Identifiable Data (Private Sector) |
Form and Instruction |
| Executive Summary for Research Identifiable Data (State, Local, Tribal Gov't) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201503-0938-007 | New collection (Request for a new OMB Control Number) | 2015-03-12 | Approved without change |