Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681)

OMB 0938-1358

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10681 Separate Billing_Supporting Statement doc.docx Supporting Statement A
Billing and Collection of the Separate Payment for Certain Contraceptive Services (State)
Segregation Plan
Billing and Collection of the Separate Payment for Certain Contraceptive Services (Issuers)

All Historical Document Collections

202004-0938-002 Withdrawn	Existing collection in use without an OMB Control Number	2020-04-06
201811-0938-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2018-11-19