Information Collection Request

ICR 202304-0938-018 · OMB 0938-1254 · Public filing

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10527 Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction Modified Repair queued
Form CMS-10527 Product Discontinuance Notice for QHP Issuers Form and Instruction Modified Repair queued
Form CMS-10527 Product Renewal Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction Modified Repair queued
Form CMS-10527 Product Renewal and Discontinuance Notice for QHP Issuers Form and Instruction Modified Repair queued
CMS-10527 Supporting Statement 30d Final.docx Supporting Statement A Uploaded 2023-04-27 Repair queued
CMS-10527 Summary of Changes.pdf Supplementary Document Uploaded 2023-04-26 Repair queued
CMS-10527 Comment and Response Summary.pdf Supplementary Document Uploaded 2023-04-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
212940 Product Discontinuance Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction Modified
212939 Product Discontinuance Notice for QHP Issuers Form and Instruction Modified
212938 Product Renewal Notice for Issuers Outside the Marketplace (Non-QHP) Form and Instruction Modified
212937 Product Renewal and Discontinuance Notice for QHP Issuers Form and Instruction Modified

ICR Details

Record metadata
0938-1254