OMB control number
Information Collection Requirement for Mid-Year Formulary Change Reporting and Notice Requirement (CMS-10696)
OMB 0938-1365 · HHS/CMS.
OMB 0938-1365
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supporting Statement A |
Form CMS-10696 Drug Formulary Changes Template
CMS-10696 - Supporting Statement (NPRM).docx
Drug Formulary Changes Template All Historical Document Collections
|
Comment filed on proposed rule |
New collection (Request for a new OMB Control Number) | 2019-04-09 |