Information Collection Request
Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824)
ICR 202302-0938-006 · OMB 0938-1444 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1444 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2023-02-03 |
Supplementary Document | 2023-02-03 |
Supplementary Document | 2023-02-03 |
IC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 258292 | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1444 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |