Information Collection Request
Collection of Diagnostic Data in the Abbreviated RAPS Format from Medicare Advantage Organizations for Risk Adjusted Payments (CMS-10062)
ICR 202303-0938-011 · OMB 0938-0878 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0878 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 RAPS Inbound Record Layout 08192020.pdf |
Supplementary Document | Uploaded 2020-08-27 | Missing upstream |
 CMS-10062 Supporting_Statement_A.docx |
Supporting Statement A | Uploaded 2023-03-30 | Available |
| CMS-10062 - Crosswalk_121322.pdf |
Supplementary Document | Uploaded 2023-03-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8704 |  Collection of Diagnostic Data from Medicare Advantage Organizations for Risk Adjusted Payments Supporting Reg 42 CFR Part 422 & 423 Subparts F and G |
Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0878 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202002-0938-018 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |