Dynamic List Information
Dynamic List Data
Form #
CMS 10252
Form Title
DATA USE AGREEMENT (DUA) CERTFICATE OF DISPOSITION (COD) FOR DATA ACQUIRED FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)
Revision Date
2022-04-27
O.M.B. #
0938-0734
O.M.B. Expiration Date
2025-10-31
Special Instructions
N/A