OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Medicare Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111 (CMS-R-282)

ICR 202302-0938-004 · OMB 0938-0778 · Received in OIRA

Forms and Documents
Document
Name
Status
Supporting Statement A
2023-02-22
Supplementary Document
2023-02-02
Supplementary Document
2023-02-02
IC Document Collections
IC ID
Document
Title
Status
8532 Modified
46763 Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-0778
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No201910-0938-007
Agency Tracking NoCM-CPC
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31