Information Collection Request
Medicare Plan Performance Warning Information (CMS-10836)
ICR 202303-0938-005 · OMB 0938-1456 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10836 IDI Discussion Guide |
Form and Instruction | New | Missing upstream |
| Form CMS-10836 Scheduling/Screening |
Form and Instruction | New | Missing upstream |
 CMS-10836 -Supporting Statement A -.docx |
Supporting Statement A | Uploaded 2023-03-15 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 259113 |  IDI Discussion Guide |
Form and Instruction | New | |
| 259110 | Scheduling/Screening |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1456 |
| 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 |