OMB control number

Executive Summary Form for Research Identifiable Data (CMS-10522)

OMB 0938-1276 · HHS/CMS.

OMB 0938-1276

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10522 Executive Summary for Research Identifiable Data (Private Sector) Form and Instruction
Form CMS-10522 Executive Summary for Research Identifiable Data (State, Local, Tribal Gov't) Form and Instruction
508_CMS-10522_Supporting_Statement_Part_A.docx Supporting Statement A
Executive Summary for Research Identifiable Data (Private Sector) Form and Instruction
Executive Summary for Research Identifiable Data (State, Local, Tribal Gov't) Form and Instruction

All Historical Document Collections

201503-0938-007

2015-03-12