Information Collection Request
Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)
ICR 202304-0938-018 · OMB 0938-1254 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1254 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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 | Missing upstream |
 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
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1254 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201910-0938-008 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |