OMB control number

QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589)

OMB 0938-1309 · HHS/CMS.

OMB 0938-1309

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10589 Reporting Form and Instruction
CMS-10589 -Supporting Statement Part A.docx Supporting Statement A
Reporting Form and Instruction
Processing and Maintenance
Legal Review
DUA and non-public analyses agreement Development

All Historical Document Collections

202101-0938-004 Approved with change	Reinstatement without change of a previously approved collection	2021-01-11
201608-0938-004 Approved with change	New collection (Request for a new OMB Control Number)	2016-08-09
201602-0938-009 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2016-02-19