Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA

OMB 0938-1474

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10858 Rebate Reduction Extension Request Form Form and Instruction
Form CMS-10858 Rebate Reduction Request Form Form and Instruction
0938-1474 Non Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change
Final clean Rebate Reduction Requests ICR SS.docx Supporting Statement A
Final clean Rebate Reduction Requests ICR Comment Summary Responses_clean.docx Supplementary Document
Rebate Reduction Requests ICR 30 Day to Final Cross Walk.docx Supplementary Document
Rebate Reduction Extension Request Form Form and Instruction
Rebate Reduction Request Form Form and Instruction