Administrative Simplification HIPAA Compliance Review (CMS-10662)

ICR 202402-0938-003

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1390 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10662 Corrective Action Plan and Monitoring Form and Instruction	Modified
Form CMS-10662 Compliance Review Form and Instruction	Modified
CMS-10662_Supporting_Statement_Part_A_.docx Supporting Statement A	2024-02-20
Appendix A comments-responses for docket CMS-2023-0190.docx Supplementary Document	2024-02-08
ASETT Compliance Review Artifact Crosswalk_20231108.pdf Supplementary Document	2024-02-08

IC Document Collections

IC ID	Document Title	Status
239116	Corrective Action Plan and Monitoring Form and Instruction	Modified
239115	Compliance Review Form and Instruction	Modified

ICR Details