OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Transparency in Pricing Information (CMS-10715)

OMB 0938-1372 ยท HHS/CMS.

OMB 0938-1372

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10715: Appendi APPENDIX 3: The Allowed Amount Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi APPENDIX 2: In-network Rate Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi Allowed Amount FileForm and Instruction
Form CMS-10715: Appendi APPENDIX 3: The Allowed Amount Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi APPENDIX 2: In-network Rate Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi In-Network Rate FileForm and Instruction
Form CMS-10715: Appendi APPENDIX 3: The Allowed Amount Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi APPENDIX 2: In-network Rate Machine-Readable File Data ElementsForm and Instruction
Form CMS-10715: Appendi Internet-based Self-Service ToolForm and Instruction
CMS-10715-Transparency in Coverage_Supporting Statement.docxSupporting 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
Allowed Amount File Form and Instruction
Allowed Amount File Form and Instruction
In-Network Rate File Form and Instruction
In-Network Rate File Form and Instruction
In-Network Rate File Form and Instruction
Requests for Mailed Disclosures Instruction
Internet-based Self-Service Tool Form and Instruction
Internet-based Self-Service Tool Form and Instruction
Internet-based Self-Service Tool Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
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