Information Collection Request
Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) (CMS-10242)
ICR 202304-0938-006 · OMB 0938-1049 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Supplementary Document | 2023-04-12 |
Supporting Statement A | 2023-04-12 |
Response to Public Comments Ambulance PRA.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 184092 | Modified |
Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1049 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202003-0938-001 |
| Agency Tracking No | CM-FFS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |