Information Collection Request
Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803)
ICR 202408-0938-010 · OMB 0938-1415 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1415 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10803 Essential Community Provider and Network Adequacy Data Requirements |
Form and Instruction | Modified | Repair queued |
 CMS-10803_ECP-NA_Supporting Statementf.docx |
Supporting Statement A | Uploaded 2024-08-08 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266278 |  QHP Issuers for the Appointment Wait Time Secret Shopper Data Collection |
Unchanged | ||
| 251109 | Essential Community Provider and Network Adequacy Data Requirements |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1415 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202403-0938-012 |
| Agency Tracking No | CCIIO |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |