Information Collection Request
Administrative Simplification HIPAA Compliance Review (CMS-10662)
ICR 202402-0938-003 · OMB 0938-1390 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1390 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10662 Corrective Action Plan and Monitoring |
Form and Instruction | Modified | Repair queued |
| Form CMS-10662 Compliance Review |
Form and Instruction | Modified | Repair queued |
 CMS-10662_Supporting_Statement_Part_A_.docx |
Supporting Statement A | Uploaded 2024-02-20 | Repair queued |
| Appendix A comments-responses for docket CMS-2023-0190.docx |
Supplementary Document | Uploaded 2024-02-08 | Repair queued |
 ASETT Compliance Review Artifact Crosswalk_20231108.pdf |
Supplementary Document | Uploaded 2024-02-08 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 239116 |  Corrective Action Plan and Monitoring |
Form and Instruction | Modified | |
| 239115 | Compliance Review |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1390 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0938-024 |
| Agency Tracking No | OIT |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |