OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Health Reimbursement Arrangements and Other Account-Based Group Health Plans (CMS-10704)

ICR 202306-0938-008 · OMB 0938-1361 · Received in OIRA

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Supporting Statement A
2023-06-20
Supplementary Document
2019-11-22
IC Document Collections
IC ID
Document
Title
Status
236410 Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-1361
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No201911-0938-012
Agency Tracking NoCCIIO
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31