Items 1 to 6: tracking and dates
CMS FOIA request number from the SWIFT system or the FOIA Contractor Portal, referring regional office number, date received, due date, response date and processing days.
CMS-632FOI
FREEDOM OF INFORMATION ACT REQUEST
- Agency
- CMS
- Revision
- 03/13
- Fillable fields
- 73
- Pages
- 2
- Official source
- CMS form page
- Checked
- October 20, 2026
Form CMS-632-FOI: Freedom of Information Act Request
Form CMS-632-FOI, titled Freedom of Information Act Request, is a control and tracking form used by the Centers for Medicare & Medicaid Services. It is completed by CMS staff rather than by the person asking for records: the instructions say it is attached to and remains with every Freedom of Information Act (FOIA) request for control and tracking, and that every CMS employee involved in processing the request adds data accounting for that involvement. That data is the base for the Annual Report.
The form records the CMS FOIA request number, key dates, the requester and subject, the category of requester, any program concern about disclosing the records and the actions taken. It then tallies the actual costs of responding, from processing hours to copying and mailing, the fees charged or waived, the people who searched for and compiled the records, and interim reply dates.
The CMS page lists the form as OMB Exempt. You can fill it out free in your browser on this page and download the result without an account.
What's on Form CMS-632-FOI
Items 7 to 11: requester and subject
Requester, affiliation and address, subject, where the request was referred, and the category of requester: Commercial, Educational/Scientific or News Media, or Other.
Item 12: program concern
Yes or No on concern about disclosing the records, with boxes such as Ongoing Deliberation, Proprietary Information, Invasion of Privacy, Pending Litigation and Open Investigation.
Item 13: actions
The disposition of the request, such as Direct Reply, Not FOIA, Fee Related Closure, No Records Found, Records Not Reasonably Described, Request Withdrawn or Subpoena Denial.
Items 14 to 19: costs
Processing hours and hourly wage per task, copying costs at $.10 per page, mailing costs, invoiceable fees, total actual cost and total invoiceable fees.
Items 20 to 23: fees and contacts
Fees charged, fee waived, the people who searched for and compiled the records, and interim reply dates.
The second page holds item by item instructions.
How Form CMS-632-FOI is completed
- 1
Log the request
Enter the request number and dates. The instructions define the due date as 20 working days from receipt of the request in the FOIA unit.
- 2
Describe the requester and subject
Enter the requester's name and affiliation, briefly describe the records requested, note where the request was referred and check a requester category.
- 3
Record any program concern
Check the items that show any concern about releasing the records.
- 4
Mark the actions
Check all items that show the disposition of the request.
- 5
Tally the costs
Record each person's processing time, copying and mailing costs. The instructions say invoiceable fees are based on the HHS fee schedule for search, review and copying.
- 6
Record fees and contacts
Enter fees charged or waived, the people who searched for the records and any interim reply dates.
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Fees, deadlines and contact
Where it stays
The instructions say the form is attached to and remains with every FOIA request for control and tracking.
Due date
Item 4 is defined as the date 20 working days from receipt of the request in the FOIA unit.
Copying costs
The form and instructions give copying costs as $.10 per page.
Invoicing threshold
The instructions say that if the invoiceable fee is $25.00 or more, the requester is invoiced. Below $25.00 the requester is not invoiced and the amount waived is entered in item 21.
Questions
The form lists the Freedom of Information Group at (410) 786-5353.
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Who uses Form CMS-632-FOI?
The instructions describe it as an internal CMS tracking form.
Official sources and the blank
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Questions about Form CMS-632FOI
Is Form CMS-632-FOI the form for asking CMS for records?
The form does not say so. Its instructions describe a control and tracking form that is attached to every FOIA request and completed by the CMS employees who process it.
What due date does the form use?
The instructions define the due date as 20 working days from receipt of the request in the FOIA unit.
Where does the CMS FOIA request number come from?
The instructions say it is the tracking number generated by the SWIFT system or the FOIA Contractor Portal.
How are copying costs figured?
The form gives copying costs as $.10 per page. Invoiceable fees are separate and, according to the instructions, based on the HHS fee schedule for search, review and copying.
When is a requester invoiced?
The instructions say to invoice the requester if the invoiceable fee is $25.00 or more. Below $25.00, the requester is not invoiced and the amount waived is recorded.
Who can answer questions about the form?
The form lists the Freedom of Information Group at (410) 786-5353.