Information Collection Request
Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510)
ICR 202212-0938-015 · OMB 0938-1218 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1218 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Supporting Statement A | 2022-12-28 |
Form CMS-10510 Basic Health Program Supporting Regulations
CMS-10510 - Supporting Statement A (2022 version 7).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 209843 | Modified |
Basic Health Program Supporting RegulationsICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1218 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 201406-0938-008 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |