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Essential Community Provider-Network Adequacy (ECP/NA) Data Collection to Support QHP Certification (CMS-10803)
ICR 202408-0938-010
OMB: 0938-1415
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1415
ICR 202408-0938-010
( )
Forms and Documents
Document
Name
Status
Form CMS-10803 Essential Community Provider and Network Adequacy Data Requirements
Form and Instruction
Modified
CMS-10803_ECP-NA_Supporting Statementf.docx
Supporting Statement A
2024-08-08
IC Document Collections
IC ID
Document
Title
Status
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
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