OMB control number

Program Integrity Portal FWA Reporting Module - Part D Plans (CMS-10517)

OMB 0938-1262 · HHS/CMS.

OMB 0938-1262

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10517 - Supporting Statement A (2020 CMS-4190-P version 5).docx Supporting Statement A
Subsequent Years
Initial Year

All Historical Document Collections

202001-0938-010	Reinstatement with change of a previously approved collection	2020-02-21
201411-0938-007 Approved with change	New collection (Request for a new OMB Control Number)	2014-11-12
201407-0938-011 Withdrawn	New collection (Request for a new OMB Control Number)	2014-07-24