Information Collection Request

Data Request and Attestation for PDP Sponsors (CMS-10691)

ICR 202602-0938-020 · OMB 0938-1371 · Received in OIRA

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-1371
Type of Information CollectionReinstatement without change of a previously approved collection
Previous ICR Reference No202209-0938-006
Agency Tracking NoOEDA
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31