FOIA/Privacy Act Requests for Medicare Claims Data via CMS FOIA Public Portal (CMS-10781)

OMB 0938-1419

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10781 Request Process Form and Instruction
CMS-10781_Supporting_Statement_Part_A (30-day).docx Supporting Statement A
Request Process Form and Instruction

All Historical Document Collections

202511-0938-015	Reinstatement without change of a previously approved collection	2025-11-25
202110-0938-011 Approved without change	New collection (Request for a new OMB Control Number)	2021-10-20