OMB control number
Early Retiree Reinsurance Program: Survey of Plan Sponsors
OMB 0938-1150 · HHS/CMS.
OMB 0938-1150
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10408 Survey of Plan Sponsors | Form and Instruction |
| Form CMS-10408 Survey of Plan Sponsors (Private Entities) | Form |
| Form CMS-10408 Survey of Plan Sponsors (Public Entities) | Form |
 CMS-10408_Supporting_Statement_Part_B_FINAL.docx | Supporting Statement B |
| CMS-10408_ERRP_Survey_Crosswalk_of_Changes_FINAL.pdf | Supplementary Document |
| CMS-10408_Subsequent_Email_Clean_Sponsor_Previously_Responded_FINAL.pdf | Supplementary Document |
| CMS-10408_Subsequent_Email_Clean_Sponsor_Did_Not_Previously_Respond_FINAL.pdf | Supplementary Document |
| CMS-10408 SupportingStatement_A_FINAL (Reinstatement).docx | Supporting Statement A |
 Survey of Plan Sponsors |
Form and Instruction |
| Survey of Plan Sponsors (Private Entities) |
Form |
| Survey of Plan Sponsors (Public Entities) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201301-0938-008 | Reinstatement with change of a previously approved collection | 2013-01-25 | Approved with change | |
| 201111-0938-007 | New collection (Request for a new OMB Control Number) | 2011-11-10 | Approved with change |