Information Collection Request
Agent and Broker Disclosure and Reporting Requirements (CMS-10787)
ICR 202109-0938-002 · OMB 0938-1403 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
| Supporting Statement A | Uploaded 2021-09-17 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 249383 | Other-Data | New | ||
| 249382 | Other-Data | New | ||
| 249381 | Other-Data | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1403 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CCIIO - 10787 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |