Information Collection Request
Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials (CMS-10824)
ICR 202302-0938-006 · OMB 0938-1444 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1444 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 ANOC EOC_AIPSStatesSupportingStatement_CMS10824.docx |
Supporting Statement A | Uploaded 2023-02-03 | Repair queued |
 Summary of comments and responses 1.17.23_final.pdf |
Supplementary Document | Uploaded 2023-02-03 | Repair queued |
| Crosswalk of updates clean 1.11.2023_CS508Cleared.pdf |
Supplementary Document | Uploaded 2023-02-03 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 258292 |  Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) |
Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1444 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |