Information Collection Request
Retrospective Appeal Requests (CMS-10885)
ICR 202401-0938-013 · OMB 0938-1466 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1466 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2024-01-26 |
CMS-10885 - Supporting Statement A (CMS-4204-P version 3 (updated).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 264664 | New |
Retrospective Appeal RequestsICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1466 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |