Information Collection Request
Supporting Statement for Direct Enrollment Entities (CMS-10877)
ICR 202404-0938-015 · OMB 0938-1463 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Unchanged |
Supplementary Document | 2024-04-22 |
Supporting Statement A | 2024-04-19 |
IC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 263481 | Modified | ||
| 263480 | Modified | ||
| 263478 | Modified | ||
| 263477 | Unchanged | ||
| 263476 | Modified | ||
| 263474 | Unchanged | ||
| 263473 | Unchanged | ||
| 263471 | Unchanged | ||
| 263333 | Unchanged | ||
| 263332 | Unchanged | ||
| 263331 | Modified | ||
| 263330 | Modified | ||
| 263329 | Unchanged | ||
| 263328 | Modified | ||
| 263264 | Modified | ||
| 263263 | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1463 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Previous ICR Reference No | 202311-0938-002 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |