Information Collection Request
Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440)
ICR 202304-0938-028 · OMB 0938-1191 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1191 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Supporting Statement A | 2023-04-28 |
CMS-10440 Supporting Statement.60 Day_DACAf.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 205692 | Modified |
Individual ApplicationICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1191 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202208-0938-007 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |