Information Collection Request
Quality Improvement Strategy Implementation Plan and Progress Report (CMS-10540)
ICR 202403-0938-011 · OMB 0938-1286 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1286 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10540 Quality Improvement Strategy Implementation Plan and Progress Report Form (New Issuer) |
Form and Instruction | Modified | Repair queued |
 CMS-10540 - 30-day Supporting_Statementf.docx |
Supporting Statement A | Uploaded 2024-03-25 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266162 |  Quality Improvement Strategy Implementation Plan and Progress Report Form (Existing Issuer) |
New | ||
| 217708 | Quality Improvement Strategy Implementation Plan and Progress Report Form (New Issuer) |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1286 |
| Type of Information Collection | Reinstatement without change of a previously approved collection |
| Previous ICR Reference No | 202012-0938-010 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |