• Agencies

CMS Data Payment Form

Description: Please use this form to pay for fees related to accessing public use files, limited data sets, and research identifiable files. Also use this form to pay all other recovery of data processing fees from the Centers for Medicare & Medicaid Services. This form is NOT to be used for submitting the CMS 855 Application Fee. If you need to submit a new enrollment or revalidation fee, please use the following link:
Form Number: CMS Data Payment

CMS Medicare Application Fee

Form Number: Medicare-app-fee-1

FMCSA Self-Insurance Application Fee

Description: Utilize this form to process payments for FMCSA Self-Insurance Application Fee.
Form Number: FMCSA Self-Insurance Application Fee
Agency: DOTFMCSA

Brown v. Board of Education NHP Special Use Permit Application Fee

Description: Use this form to pay for a nonrefundable special use permit application fee at Brown v. Board of Education NHP.
Form Number: BRVB SUP Application Fees

Sleeping Bear Dunes NL Special Use Permit Application Fee

Description: Use this form to pay special use permit application fee at Sleeping Bear Dunes National Lakeshore.
Form Number: SLBE SUP Application

San Juan NHS Special Use Permit Application Fees

Description: Use this form to pay Special Use permit Application Fees for San Juan National Historic Site.
Form Number: SAJU Application Fee

Grand Teton NP Special Use Permit Application Fee

Description: Use this form to pay special user permit application fees at Grand Teton NP for weddings or special events.
Form Number: GRTE SUP Application

CMS Freedom of Information Act (FOIA) Request Payment Form

Description: Please use this form to pay for CMS FOIA requests.
Form Number: CMS-633

Medicare Coverage Gap Discount Program CMPs

Description: Please use this form to pay your Medicare Coverage Gap Discount Program Civil Monetary Penalties
Form Number: Medicare CGDP CMPs

Cumberland Island NS Hunt Application Fee

Description: NOTE: REGISTRATION BEGINS JULY 1. Use this form to register and pay your Cumberland Island hunt fees
Form Number: Hunt Application

Grand Canyon NP Commercial Use Authorization Fees

Description: Use this form to pay Commercial Use Authorization Application Fee at Grand Canyon National Park.
Form Number: GRCA CUA Application

Bureau of Land Management (BLM) Application for Permit to Drill (APD) Fee

Description: Use this form to pay for your Bureau of Land Management (BLM) Application for Permit to Drill (APD) Processing Fee.
Form Number: Form 3160-3

NPS Historic Preservation Certification Application Fee Payment Form

Description: Use this form to pay your Historic Preservation Certification Application fee
Form Number: NPS Historic Preservation

Gateway NRA SH Non-Standard Permit Application Fees

Description: Use this form to pay for Non-Standard Permits Application Fees at Gateway NRA Sandy Hook Unit.
Form Number: GATE SH Non-Standard Permit Ap Fee

Golden Gate NRA Special Park Use Event Application Fees

Description: Use this form to pay for special park use event application fees at Golden Gate National Recreation Area.
Form Number: GOGA SPUG Event App Fee

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