Information Collection Request
Administrative Simplification HIPAA Compliance Review (CMS-10662)
ICR 202402-0938-003 · OMB 0938-1390 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1390 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supporting Statement A | 2024-02-20 |
Supplementary Document | 2024-02-08 |
Supplementary Document | 2024-02-08 |
Form CMS-10662 Corrective Action Plan and Monitoring
CMS-10662_Supporting_Statement_Part_A_.docx
ASETT Compliance Review Artifact Crosswalk_20231108.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 239116 | Modified | ||
| 239115 | Modified |
Corrective Action Plan and MonitoringICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1390 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0938-024 |
| Agency Tracking No | OIT |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |