Information Collection Request

Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440)

ICR 202506-0938-003 · OMB 0938-1191 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10440 Application for Health Coverage (no cost help) - Spanish Form and Instruction Modified Available
Form CMS-10440 Application for Health Coverage & Help Paying Costs - Spanish Form and Instruction Modified Repair queued
Form CMS-10440 Application for Health Coverage & Help Paying Costs (Short Form) - Spanish Form and Instruction Modified Available
Form CMS-10440 Electronic application. Form Modified Available
Form CMS-10440 Application for Health Coverage (no cost help) Form and Instruction Modified Available
Form CMS-10440 Application for Health Coverage & Help Paying Costs Form and Instruction Modified Available
Form CMS-10440 Application for Health Coverage & Help Paying Costs (Short Form) Form and Instruction Modified Available
Form CMS-10440 Individual Application Form and Instruction Modified Repair queued
Att A.-Application PRA Electronic Application 022825 Clean.xlsx Supplementary Document Uploaded 2025-06-04 Available
Att A.-Application PRA Electronic Application 022825 Clean.xlsx Supplementary Document Uploaded 2025-06-04 Repair queued
CMS-10440 Supporting Statement (proposed rule 9884-P).docx Supporting Statement A Uploaded 2025-06-04 Available
CMS-10440 Supporting Statement (proposed rule 9884-P).docx Supporting Statement A Uploaded 2025-06-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage (no cost help) - Spanish
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage & Help Paying Costs - Spanish
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage & Help Paying Costs (Short Form) - Spanish
205692 Individual Application Form ModifiedElectronic application.
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage (no cost help)
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage & Help Paying Costs
205692 Individual Application Form and Instruction ModifiedApplication for Health Coverage & Help Paying Costs (Short Form)
205692 Individual Application Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2027 36 Months From Approved 09/30/2027
11,327,040 0 11,327,040
7,105,452 0 7,105,452
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Individual Application CMS-10440, CMS-10440, CMS-10440, CMS-10440, CMS-10440, CMS-10440, CMS-10440 ,   ,   ,   ,   ,   ,  



Reginfo record details
  No