OMB control number
Dispute Resolution for Discarded Drug Refunds (CMS-10835)
OMB 0938-1435 · HHS/CMS.
OMB 0938-1435
Manufacturers of drugs or biologicals for which refunds are owed may submit an error report to CMS. CMS will use this information to evaluate the refund amount and make any corrections or adjustments to the refund amount if CMS finds there was indeed an error. CMS would evaluate error reports and would decide whether the information (such as number of discarded billing units or refund amount calculation) requires correction based on the information provided. CMS proposes that if we find that a different refund amount is owed than what was stated on the report, we would issue a new report with updated discarded amounts and/or refund. CMS also proposes that if we disagree with the dispute, we would notify the manufacturer that refund amount on the report is still owed and should be paid.
The latest form for Dispute Resolution for Discarded Drug Refunds (CMS-10835) expires 2027-11-30 and is listed under ICR 202408-0938-007.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-10835 - Supporting Statement A (CMS-1784-F version 6).docx | Supporting Statement A |
 Applications: Subsequent Years |
Information collection |
| Applications: Initial Year |
Information collection |
| Error Report Submission |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202408-0938-007 | Revision of a currently approved collection | 2024-08-08 | ||
| 202405-0938-018 | Revision of a currently approved collection | 2024-05-20 | Comment filed on proposed rule and continue | |
| 202303-0938-007 | New collection (Request for a new OMB Control Number) | 2023-03-14 | Approved with change | |
| 202210-0938-001 | New collection (Request for a new OMB Control Number) | 2022-10-06 | Comment filed on proposed rule |
OMB Details
Error Report Submission
Federal Enterprise Architecture: Health - Health Care Services