Information Collection Request

Cost-Sharing Reduction Reconciliation (CMS-10526)

ICR 202405-0938-030 · OMB 0938-1266 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10526 Simplified Actuarial Value Methodology Plan and Policy Report Form and Instruction Modified Repair queued
Form CMS-10526 Issuer Report Form and Instruction Modified Repair queued
CMS-10526 - Supporting Statement 30d.docx Supporting Statement A Uploaded 2024-05-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
213296 Simplified Actuarial Value Methodology Plan and Policy Report Form and Instruction Modified
213295 Issuer Report Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1266
Extension without change of a currently approved collection
202012-0938-014
CCIIO
1969-12-31
1969-12-31