OMB control number
Transparency in Pricing Information (CMS-10715)
OMB 0938-1372 ยท HHS/CMS.
OMB 0938-1372
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10715: Appendi Allowed Amount File | Form and Instruction |
| Form CMS-10715: Appendi In-Network Rate File | Form and Instruction |
| Form CMS-10715: Appendi Internet-based Self-Service Tool | Form and Instruction |
 CMS-10715-Transparency in Coverage_Supporting Statement.docx | Supporting Statement A |
| CMS-10715 - PRA Comments Responses.docx | Supplementary Document |
 Customer Service Representatives Training |
Information collection |
| Prescription Drug File |
Other-Data Elements |
| Allowed Amount File |
Form and Instruction |
| In-Network Rate File |
Form and Instruction |
| Requests for Mailed Disclosures |
Instruction |
| Internet-based Self-Service Tool |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202110-0938-009 | Existing collection in use without an OMB Control Number | 2021-10-25 | Improperly submitted | |
| 201912-0938-001 | New collection (Request for a new OMB Control Number) | 2019-12-03 | Comment filed on proposed rule |