OMB control number
State Health Insurance Exchange Security Incident Report
OMB 0938-1216 · HHS/CMS.
OMB 0938-1216
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form and Instruction |
Supporting Statement A |
Form CMS-10496 Incident Reporting
CMS-10496.Supporting Statement Part A.pdf
Incident Reporting All Historical Document Collections
|
Approved without change |
Extension without change of a currently approved collection | 2014-03-06 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2013-08-27 |