OMB control number

Agent and Broker Disclosure and Reporting Requirements (CMS-10787)

OMB 0938-1403 · HHS/CMS.

OMB 0938-1403

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10787 - AB Supporting Statement (508).docx Supporting Statement A
Proposed Annual Ongoing Costs Regarding Issuer Reporting of Agent and Broker Compe nsation to HHS Other-Data
Proposed Annual Ongoing Costs Related to Agent and Broker Compensation Disclosure Provided with Enrollment Materials Other-Data
Proposed Annual Ongoing Costs Regarding Disclosure of Agent and Broker Compensation to Enrollees Prior to Enrollment Other-Data

All Historical Document Collections

202109-0938-002

2021-09-17