Basic Health Program Report for Health Insurance Exchange Premium (CMS-10510)

ICR 202212-0938-015

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1218 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10510 Basic Health Program Supporting Regulations Form and Instruction	Modified
CMS-10510 - Supporting Statement A (2022 version 7).docx Supporting Statement A	2022-12-28

IC Document Collections

IC ID	Document Title	Status
209843	Basic Health Program Supporting Regulations Form and Instruction	Modified

ICR Details