Non-Substantial Justification Document

100611_2022_Justification.docx

Medicare Outpatient Observation Notice (MOON) (CMS-10611)

Non-Substantial Justification Document

OMB: 0938-1308

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1308 can be found here:

2025-12-09 - Reinstatement without change of a previously approved collection
2023-01-05 - No material or nonsubstantive change to a currently approved collection

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