OMB control number

Transparency in Pricing Information (CMS-10715)

OMB 0938-1429 · HHS/CMS.

OMB 0938-1429

Latest Forms, Documents, and Supporting Material

Document Name
- Other-Transparency in Coverage Model Notice
- Other-Data Elements
ICRs Regarding Requirements for Public Disclosure of In-network Rates (One-time) Other-In-network Rate Machine-Readable File Data Elements
ICRs Regarding Requirements for Public Disclosure of In-network Rates (Annual) Other-In-network Rate Machine-Readable File Data Elements
Required Disclosures to Participants, Beneficiaries, or Enrollees - (One-time) Form
Required Disclosures to Participants, Beneficiaries, or Enrollees - Annual Form

All Historical Document Collections

202601-0938-002	Revision of a currently approved collection	2026-02-12
202410-1545-001CF	RCF New	2024-10-09
202410-1210-001CF	RCF New	2024-10-09
202410-0938-023	Revision of a currently approved collection	2024-10-30
202410-0938-006 Approved without change	Revision of a currently approved collection	2024-10-03
202110-0938-016 Approved with change	New collection (Request for a new OMB Control Number)	2021-11-01

OMB Details

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10715	In-network Rate Machine-Readable File Data Elements
Form CMS-10715	APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.