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Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators (CMS-10821)
OMB 0938-1425
OMB.report
HHS/CMS
OMB 0938-1425
OMB 0938-1425
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10821 Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators
Form
CMS-10821.Supporting Statement Part A (final rule).docx
Supporting Statement A
Supplemental to Form CMS-2552-10, Payment Adjustment for Domestic NIOSH-Approved Surgical N95 Respirators
Form
All Historical Document Collections
202212-0938-003
Approved without change
New collection (Request for a new OMB Control Number)
2022-12-02
202207-0938-017
Comment filed on proposed rule
New collection (Request for a new OMB Control Number)
2022-07-28
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