Information Collection Request

Summary of Benefits and Coverage and Uniform Glossary (CMS-10407)

ICR 202504-0938-009 · OMB 0938-1146 · Received in OIRA

Forms and Documents

Document Name	Status
CMS-10407 - Non-sub Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2025-04-10
Crosswalk of changes to SBC PRA (CMS-10407)_02.03.25.docx Supplementary Document	2025-04-10
Non-sub Change Request Memo (CMS-10407_SBC PRA)_clean.docx Justification for No Material/Nonsubstantive Change	2024-12-17
SBC PRA 30 day supporting statement OMB-F.docx Supporting Statement A	2023-05-26
CMS-10407 - Comment Response Document.pdf Supplementary Document	2023-01-12

IC Document Collections

IC ID	Document Title	Status
201038	Deemed Compliance Reporting	Unchanged
199007	SBC Disclosure Other-Maternity Care Narrative	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1146
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202412-0938-010
Agency Tracking No	CCIIO
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31