Information Collection Request
Medicare Advantage Program and Supporting Regulations (CMS-R-267)
ICR 202301-0938-006 · OMB 0938-0753 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-R-267- Supporting Statement A (CMS-4201-P version 4).docx |
Supporting Statement A | Uploaded 2023-01-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8462 |  Medicare Advantage Program and Supporting Regulations (MAOs) |
Unchanged | ||
| 257871 | Proposed Changes (CMS-4201-P, RIN 0938-AU96) |
Other-CMS Model Document: MA Provider Termination Notice | New | |
| 236235 | Medicare Advantage Program and Supporting Regulations (States) |
Unchanged | ||
| 185236 | Medicare Advantage Program and Supporting Regulations (Beneficiaries) |
Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0753 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202006-0938-010 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |