Information Collection Request
Triennial Network Adequacy Review for Medicare Advantage Organizations and 1876 Cost Plans (CMS-10636)
ICR 202406-0938-016 · OMB 0938-1346 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1346 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10636 - Supporting Statement A_.docx |
Supporting Statement A | Uploaded 2024-06-26 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 227912 |  Three-Year Network Adequacy Review for Medicare Advantage Organizations |
Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1346 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202305-0938-004 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |