Information Collection Request
Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466)
ICR 202403-0938-005 · OMB 0938-1190 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10466 Exemption Applications - Eligibility for Exemptions |
Form and Instruction | Modified | Repair queued |
 CMS-10466 - Supporting Statement 2023_Final.pdf |
Supporting Statement A | Uploaded 2024-03-13 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 208103 |  Agreements |
Modified | ||
| 208102 | Periodic Electronic Notifications |
Modified | ||
| 208101 | Redeterminations |
Modified | ||
| 205756 | Verification of New and Changed Applications |
Modified | ||
| 205755 | Eligibility Notices |
Modified | ||
| 205754 | Application Development (Edits) |
Modified | ||
| 205753 | Exemption Applications - Eligibility for Exemptions |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1190 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202003-0938-013 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |