Information Collection Request
Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510)
ICR 202212-0938-015 · OMB 0938-1218 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1218 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10510 Basic Health Program Supporting Regulations |
Form and Instruction | Modified | Repair queued |
 CMS-10510 - Supporting Statement A (2022 version 7).docx |
Supporting Statement A | Uploaded 2022-12-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 209843 |  Basic Health Program Supporting Regulations |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1218 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 201406-0938-008 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |