OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Transparency in Pricing Information (CMS-10715)

OMB 0938-1372 · HHS/CMS.

OMB 0938-1372

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10715: Appendi Allowed Amount File Form and Instruction
Form CMS-10715: Appendi In-Network Rate File Form and Instruction
Form CMS-10715: Appendi Internet-based Self-Service Tool Form and Instruction
CMS-10715-Transparency in Coverage_Supporting Statement.docx Supporting Statement A
CMS-10715 - PRA Comments Responses.docx Supplementary Document
Customer Service Representatives Training
Prescription Drug File Other-Data Elements
Allowed Amount File Form and Instruction
In-Network Rate File Form and Instruction
Requests for Mailed Disclosures Instruction
Internet-based Self-Service Tool Form and Instruction

All Historical Document Collections

202110-0938-009 Improperly submitted	Existing collection in use without an OMB Control Number	2021-10-25
201912-0938-001 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2019-12-03