OMB control number
Notification of Involuntary Disenrollment by the Centers for Medicare & Medicaid Services for Failure to Pay the Part D Income Related Monthly Adjustment Amount
OMB 0938-1335 · HHS/CMS.
OMB 0938-1335
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 PRA D-IRMAA Supporting Statement - Part A CM.OEORA.doc | Supporting Statement A |
 Notification of Involuntary Disenrollment by the Centers for Medicare & Medicaid Services for Failure to Pay the Part D Income Related Monthly Adjustment Amount (CMS-10352 |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201011-0938-012 | New collection (Request for a new OMB Control Number) | 2010-11-23 | Comment filed on proposed rule |