Form CMS-10494 Registration Portal

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel -CAC (CMS-10494)

CMS-10494 - Appendix D_Registration Portal

155.225(b)(1)(ii) - Issuance of unique registration identification number

OMB: 0938-1205

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1205 can be found here:

Document [pdf]

Download: pdf | pdf

MLMS Assister Training Profile Mock-Up

Graphic 1- Individual Assister Information - Full Page screen-shot mock-up

Graphic 2 - Individual Assister Information - Screen-shot mock-up with Assister Type drop down expanded

Graphic 3 - Individual Assister Information - Screen-shot mock-up with Training Language Selection drop down expanded

Graphic 4 - Individual Assister Information - Screen-shot mock-up with How Many Years Have You Been an Assister drop down
expanded

Graphic 5 - Individual Assister Information - Screen-shot mock-up with When Did You Last Complete Federal Assister Training
drop down expanded

Graphic 6 - Individual Assister Information - Screen-shot mock-up with Organization drop down expanded

Graphic 7 - Individual Assister Information - Screen-shot mock-up with Organization State drop down expanded (complete list
not shown)

File Type	application/pdf
File Title	MLMS Assister Training Profile Mock-Up
Subject	Marketplace Learning Management System, MLMS, Training Profile, assister, registration portal
Author	CMS
File Modified	2015-04-02
File Created	2015-03-31