CMS Pub. 100-01, ch. 6, § 10.3

Form CMS-632-FOI (Exhibit A) serves as a cover sheet for FOI requests. The form is

designed to expedite the handling of requests and to provide the information necessary

for reporting purposes. For each FOI request, the contractor will complete a Form CMS-

632-FOI. Completion instructions for the form are included on the reverse side. The

contractor may furnish estimated costs if actual postage costs are not readily available.

Order Form CMS-632-FOI routinely on an annual basis using the CMS 1961 Forms

Order. Direct any interim requests for Form CMS-632-FOI to CMS Forms Distribution

Officer, Forms Management and Distribution, Office of Internal Customer Support.

Interim requests must be submitted in writing.