PRA Disclosure Statement — OMB control number (0938-1376), the expiration date is November 30, 2020 (Paperwork Reduction Act of 1995)
Summary
A PRA Disclosure Statement under the Paperwork Reduction Act of 1995, stating that no persons are required to respond to a collection of information unless it displays a valid OMB control number. It gives the valid OMB control number for this information collection as 0938-1376, with an expiration date of November 30, 2020, and says the collection is required to retain a benefit. The time to complete it is estimated to average 15 minutes per response. A CMS Disclosure asks readers not to send applications, claims, payments, medical records or documents containing sensitive information to the PRA Reports Clearance Office.
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- Issuer
- Congressional materials
Cite this document
“PRA Disclosure Statement — OMB control number (0938-1376), the expiration date is November 30, 2020 (Paperwork Reduction Act of 1995).”
Original at www.cms.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/ppr-int-c9332b0f96a051e0-pra-disclosure-statement-pdf-9db3adcf18/
, SHA-256 be0672a044888a6ae95e1d86c23def95746ac914c757633438c207003aceae96.Full text
PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1376. The expiration date is November 30, 2020. This is required to retain a benefit. The time required to complete this information collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. ****CMS Disclosure**** Please do not send applications, claims, payments, medical records or any documents containing sensitive information to the PRA Reports Clearance Office. Please note that any correspondence not pertaining to the information collection burden approved under the associated OMB control number listed on this form will not be reviewed, forwarded, or retained. If you have questions or concerns regarding where to submit your documents, please contact HAPG_COVID-19@cms.hhs.gov
File and source
- File
- ppr-int-c9332b0f96a051e0-PRA-Disclosure-Statement-PDF-9db3adcf18.pdf
- Size
- 55,040 bytes
- SHA-256
- be0672a044888a6ae95e1d86c23def95746ac914c757633438c207003aceae96
- Original
- www.cms.gov