OMB control number
Model Creditable Coverage Disclosure Notices
OMB 0938-0990 ยท HHS/CMS.
OMB 0938-0990
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10182 NC-SP Model Creditable Coverage Disclosure Notices (CMS-10182) | Form and Instruction |
| CC Notice Crosswalk Document.DOC | Supplementary Document |
| CMS-10182 CC Supporting Statement PRA Disclosure to Ind 06.06.08.doc | Supporting Statement A |
 Model Creditable Coverage Disclosure Notices (CMS-10182) |
Form and Instruction |
| Model Creditable Coverage Disclosure Notices (CMS-10182) |
Other-Guidance |
| Model Creditable Coverage Disclosure Notices (CMS-10182) |
Other-Guidance |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200810-0938-015 | Revision of a currently approved collection | 2008-10-29 | Approved without change | |
| 200805-0938-003 | No material or nonsubstantive change to a currently approved collection | 2008-05-06 | Approved without change | |
| 200610-0938-010 | Revision of a currently approved collection | 2006-10-18 | Approved with change | |
| 200603-0938-004 | New collection (Request for a new OMB Control Number) | 2006-03-03 | Approved without change |