OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Disclosure of State Rating Requirements Notice (CMS-10454)

ICR 202405-0938-023 · OMB 0938-1258 · Received in OIRA

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Supporting Statement A
2024-05-21
IC Document Collections
IC ID
Document
Title
Status
208568 Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-1258
Type of Information CollectionExtension without change of a currently approved collection
Previous ICR Reference No202212-0938-001
Agency Tracking NoCCIIO - 10454
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31