No Surprises Act: IDR Process

OMB 1210-0169

OMB 1210-0169

Latest Forms, Documents, and Supporting Material

Document Name
1. Tri-dept - PRA supporting statement 092921.docx Supporting Statement A
NSA IFR Part II Emergency Request Memo 9.28.21.docx Supplementary Document
Request of Extension of Time Periods for Extenuating Circumstances Other-Request of Extension of Time Periods for Extenuating Circu
IDR Entity Certification and IDR Entity Monthly Reporting Other-IDR Certification Application
Federal IDR Process for Air Ambulance Services Other-Notice of Open Negotiation
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities Other-Notice of Open Negotiation

All Historical Document Collections

202110-1210-002 Approved without change	Revision of a currently approved collection	2021-10-07
202108-1210-008 Preapproved	New collection (Request for a new OMB Control Number)	2021-10-01

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