Information Collection Request
Disclosure of State Rating Requirements and Individual Market Special Enrollment Notice (CMS-10454)
ICR 202212-0938-001 · OMB 0938-1258 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1258 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Unchanged |
Justification for No Material/Nonsubstantive Change | 2022-12-01 |
Supporting Statement A | 2021-03-18 |
Form CMS-10454 Disclosure of State Rating Requirements
CMS-10454 - Non-Sub Change Request 2022.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 208568 | Unchanged |
Disclosure of State Rating RequirementsICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1258 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202103-0938-016 |
| Agency Tracking No | CCIIO - 10454 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |