Information Collection

Meeting Request Public Portal

IC 280411 under ICR 202605-0938-008 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10943 CMS-10943.External Meeting Request Portal Screenshots Meeting Request Public Portal	Form and Instruction
CMS-10943 CMS-10943.External Meeting Request Portal Screenshots CMS-10943.External Meeting Request Portal Screenshots.pdf	Form and Instruction
CMS_10943.CMS Meeting Portal Privacy Act Statement 2026.docx CMS_10943.CMS Meeting Portal Privacy Act Statement 2026	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10943				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: System of Records Notice 09-90-1901 HHS Correspondence, Comment, Customer Service, and Contact List Records

FR Citation: 86 FR 12699

Number of Respondents: 465

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	465	465
Annual IC Time Burden (Hours)	155	155
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMS_10943.CMS Meeting Portal Privacy Act Statement 2026		05/12/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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