Information Collection Request
Evaluating Coverage to Care in Communities (CMS-10632)
ICR 202301-0938-018 · OMB 0938-1342 · Active
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Unchanged |
Form and Instruction |
Unchanged |
Form and Instruction |
Unchanged |
Form and Instruction |
Unchanged |
Justification for No Material/Nonsubstantive Change | 2023-01-26 |
Justification for No Material/Nonsubstantive Change | 2023-01-26 |
Supporting Statement B | 2023-01-26 |
Supporting Statement B | 2023-01-26 |
Supporting Statement A | 2023-01-26 |
Supporting Statement A | 2023-01-26 |
Supplementary Document | 2021-05-06 |
Supplementary Document | 2021-05-06 |
Form CMS-10632 Consumer Survey
CMS-10632_Non-sub_Change_Request_Memo 012623.docx
CMS-10632.Appendix_E_Survey_Changes_srs_022221.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 226369 | Unchanged | ||
| 226369 | Unchanged | ||
| 226367 | Unchanged | ||
| 226367 | Unchanged |
Consumer SurveyICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1342 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202105-0938-002 |
| Agency Tracking No | OMH |
| Date Submitted to OIRA | 2023-02-02 |
| Requested Expiration Date | 1969-12-31 |