OMB control number
Supporting Statement for Billing and Collection of the Separate Payment for Certain Abortion Services (CMS-10681)
OMB 0938-1358 · HHS/CMS.
OMB 0938-1358
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10681 Separate Billing_Supporting Statement doc.docx | Supporting Statement A |
 Billing and Collection of the Separate Payment for Certain Contraceptive Services (State) |
Information collection |
| Segregation Plan |
Information collection |
| Billing and Collection of the Separate Payment for Certain Contraceptive Services (Issuers) |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202004-0938-002 | Existing collection in use without an OMB Control Number | 2020-04-06 | Withdrawn | |
| 201811-0938-001 | New collection (Request for a new OMB Control Number) | 2018-11-19 | Comment filed on proposed rule |