Information Collection Request
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)
ICR 202304-0938-018 · OMB 0938-1254 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1254 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supporting Statement A | 2023-04-27 |
Supplementary Document | 2023-04-26 |
Supplementary Document | 2023-04-26 |
Form CMS-10527 Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP)
CMS-10527 Supporting Statement 30d Final.docx
CMS-10527 Summary of Changes.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 212940 | Modified | ||
| 212939 | Modified | ||
| 212938 | Modified | ||
| 212937 | Modified |
Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1254 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201910-0938-008 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |