Information Collection Request

ICR 202011-0938-002 · OMB 0938-0920 · Public filing

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0920 can be found here:

Forms and Documents

Document	Type	Status	Availability
CMS-10108 - Supporting Statement A (CMS-2408-F version 15).docx	Supporting Statement A	Uploaded 2021-04-27	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
8764	Medicaid Managed Care Regulations (States) 42 CFR 438.6, 438.10, 438.50, 438.202, 438.722, 438.724, and 438.810		Modified
179886	Medicaid Managed Care Regulations (Private Sector) 42 CFR 438.8, 438.10, 438.12, 438.102, 438.207, 438.208, 438.210, 438.236, 438.240, 438.242, 438.404, and 438.416		Modified

ICR Details

OMB Control No	0938-0920