Information Collection Request
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636)
ICR 202303-0938-009 · OMB 0938-1346 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1346 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10636 - Supporting Statement A (CMS-4201-P version 3).docx |
Supporting Statement A | Uploaded 2023-03-15 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 227912 |  Three-Year Network Adequacy Review for Medicare Advantage Organizations |
Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1346 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202208-0938-018 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |