Information Collection Request
Information Collection for Machine Readable Data for Provider Network and Prescription Formulary Content for FFM QHPs (CMS-10558)
ICR 202403-0938-014 · OMB 0938-1284 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10558 QHP Network and Formulary - Developer Documentation |
Form and Instruction | Modified | Repair queued |
 CMS-10558 - Supporting Statement .docx |
Supporting Statement A | Uploaded 2024-03-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 217257 |  QHP Network and Formulary - Developer Documentation |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1284 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202011-0938-008 |
| Agency Tracking No | 10558 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |