OMB control number
Small Business Health Options Program (SHOP) Effective Date and Termination Notice Requirements (CMS-10555)
OMB 0938-1303 · HHS/CMS.
OMB 0938-1303
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10555 SHOP Satisfaction Surveys | Form and Instruction |
 CMS-10555 - Supporting Statement - Part B.doc | Supporting Statement B |
 SHOP Notices 30-Day Supporting Statement A 10022015 - FINAL.PDF | Supporting Statement A |
 SHOP Satisfaction Surveys |
Form and Instruction |
| Termination of SHOP Enrollment |
Information collection |
| Enrollment of Employees into QHPs under SHOP |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201512-0938-005 | New collection (Request for a new OMB Control Number) | 2015-12-18 | Approved without change |