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
DocumentTypeStatusAvailability
CMS-10787 - AB Supporting Statement (508).docx Supporting Statement A Uploaded 2021-09-17 Repair queued
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-1403
Type of Information CollectionNew collection (Request for a new OMB Control Number)
Agency Tracking NoCCIIO - 10787
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31