OMB control number

Submissions of 1135 Waiver Request Automated Process (CMS-10752)

OMB 0938-1384 · HHS/CMS.

OMB 0938-1384

Waivers under Section 1135 of the Social Security Act (the Act) and certain flexibilities allow the CMS to relax certain requirements, known as the Conditions of Participation (CoPs) or Conditions of Coverage to promote the health and safety of beneficiaries. Under Section 1135 of the Act, the Secretary may temporarily waive or modify certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements to ensure that sufficient health care services are available to meet the needs of individuals enrolled in Social Security Act programs in the emergency area and time periods. These waivers ensure that providers who provide such services in good faith can be reimbursed and exempted from sanctions. During emergencies, such as the current COVID-19 public health emergency (PHE), CMS must be able to apply program waivers and flexibilities under section 1135 of the Social Security Act, in a timely manner to respond quickly to unfolding events. In a disaster or emergency, waivers and flexibilities assist health care providers/suppliers in providing timely healthcare and services to people who have been affected and enables states, Federal districts, and U.S. territories to ensure Medicare and/or Medicaid beneficiaries have continued access to care. During disasters and emergencies, it is not uncommon to evacuate Medicare-participating facilities and relocate patients/residents to other provider settings or across state lines, especially, during hurricane and tornado events. CMS must collect relevant information for which a provider is requesting a waiver or flexibility to make proper decisions about approving or denying such requests. Collection of this data aids in the prevention of gaps in access to care and services before, during, and after an emergency. CMS must also respond to inquiries related to a PHE from providers and beneficiaries. CMS is not collecting information from these inquiries; we are merely responding to them.

The latest form for Submissions of 1135 Waiver Request Automated Process (CMS-10752) expires 2026-08-31 and is listed under ICR 202604-0938-012.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-0938-015 Revision of a currently approved collection 2026-06-22
202604-0938-012 No material or nonsubstantive change to a currently approved collection 2026-04-14 Approved without change
202604-0938-011 No material or nonsubstantive change to a currently approved collection 2026-04-13 Approved without change
202512-0938-023 No material or nonsubstantive change to a currently approved collection 2025-12-30 Approved without change
202507-0938-014 No material or nonsubstantive change to a currently approved collection 2025-07-09 Approved without change
202501-0938-004 No material or nonsubstantive change to a currently approved collection 2025-01-10 Approved without change
202410-0938-010 No material or nonsubstantive change to a currently approved collection 2024-10-08 Approved without change
202409-0938-027 No material or nonsubstantive change to a currently approved collection 2024-09-25 Approved without change
202409-0938-014 No material or nonsubstantive change to a currently approved collection 2024-09-12 Approved without change
202409-0938-013 No material or nonsubstantive change to a currently approved collection 2024-09-11 Approved without change
202409-0938-009 No material or nonsubstantive change to a currently approved collection 2024-09-09 Approved without change
202405-0938-028 Revision of a currently approved collection 2024-05-31 Approved with change
202308-0938-016 No material or nonsubstantive change to a currently approved collection 2023-08-29 Approved without change
202308-0938-009 No material or nonsubstantive change to a currently approved collection 2023-08-14 Approved without change
202306-0938-001 No material or nonsubstantive change to a currently approved collection 2023-06-01 Approved without change
202303-0938-012 No material or nonsubstantive change to a currently approved collection 2023-03-27 Approved without change
202303-0938-008 No material or nonsubstantive change to a currently approved collection 2023-03-14 Approved without change
202209-0938-005 No material or nonsubstantive change to a currently approved collection 2022-09-27 Approved without change
202209-0938-004 No material or nonsubstantive change to a currently approved collection 2022-09-22 Approved without change
202209-0938-003 No material or nonsubstantive change to a currently approved collection 2022-09-13 Approved without change
202208-0938-010 No material or nonsubstantive change to a currently approved collection 2022-08-10 Approved without change
202208-0938-003 No material or nonsubstantive change to a currently approved collection 2022-08-03 Approved without change
202205-0938-012 No material or nonsubstantive change to a currently approved collection 2022-05-09 Approved without change
202111-0938-007 No material or nonsubstantive change to a currently approved collection 2021-11-10 Approved without change
202109-0938-016 No material or nonsubstantive change to a currently approved collection 2021-09-29 Approved without change
202109-0938-006 No material or nonsubstantive change to a currently approved collection 2021-09-07 Approved without change
202108-0938-016 No material or nonsubstantive change to a currently approved collection 2021-08-31 Approved without change
202108-0938-003 No material or nonsubstantive change to a currently approved collection 2021-08-05 Approved without change
202102-0938-013 Revision of a currently approved collection 2021-02-19 Approved with change
202010-0938-007 New collection (Request for a new OMB Control Number) 2020-10-09 Approved with change

OMB Details

1135 Waiver Request Automated Process

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-10752Waiver Inquiry FormFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.