---
kind: "section"
citation: "42 C.F.R. § 411.373"
title: "42"
number: "411.373"
heading: "Certification."
url: "https://uscodex.org/cfr/42/411.373"
---

# §411.373. Certification.

- (a) Every request must include the following signed certification: “With knowledge of the penalties for false statements provided by [18 U.S.C. 1001](/usc/18/1001.md) and with knowledge that this request for an advisory opinion is being submitted to the Department of Health and Human Services, I certify that all of the information provided is true and correct, and constitutes a complete description of the facts regarding which an advisory opinion is sought, to the best of my knowledge and belief.”
- (b) If the advisory opinion relates to a proposed arrangement, in addition to the certification required by [paragraph (a)](#a) of this section, the following certification must be included and signed by the requestor: “The arrangement described in this request for an advisory opinion is one into which [the requestor], in good faith, plans to enter.” This statement may be made contingent on a favorable advisory opinion, in which case the requestor should add one of the following phrases to the certification:
  - (1) “if CMS issues a favorable advisory opinion.”
  - (2) “if CMS and the OIG issue favorable advisory opinions.”

## Notes

### Amendments

[69 FR 57227, Sept. 24, 2004]

### Source

Source: 69 FR 16126, Mar. 26, 2004, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.

### Source

Source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

### Amendments

[69 FR 57227, Sept. 24, 2004]