Information Collection Request
Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803)
ICR 202408-0938-010 · OMB 0938-1415 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1415 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Supporting Statement A | 2024-08-08 |
Form CMS-10803 Essential Community Provider and Network Adequacy Data Requirements
CMS-10803_ECP-NA_Supporting Statementf.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 266278 | Unchanged | ||
| 251109 | Modified |
QHP Issuers for the Appointment Wait Time Secret Shopper Data CollectionICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1415 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202403-0938-012 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |