OMB control number
Estimation of Improper Payments of the Advanced Payment of Premium Tax Credit (APTC) in State Exchanges under the Affordable Care Act (CMS-10794)
OMB 0938-1416 · HHS/CMS.
OMB 0938-1416
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10794 State Exchange Improper Payment Measurement (SEIPM) Data Request Form | Form and Instruction |
 CMS - 10794 - Supporting Statement Final.docx | Supporting Statement A |
| CMS - 10794 - Supporting Statement B Final.docx | Supporting Statement B |
 State Exchange Improper Payment Measurement (SEIPM) Data Request Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202201-0938-017 | New collection (Request for a new OMB Control Number) | 2022-01-21 | Comment filed on proposed rule |