Supporting Statement for Agent/Broker Consent Information Collection (CMS-10840)

OMB 0938-1438

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10840 Agent/Broker Eligibility and Consent Records Form and Instruction
Form CMS-10840 Agent/Broker Eligibility and Consent Documentation Form
Appendix_A_CMS-10840_Agent-Broker_Consent_60-Day_Comment_Response_508.pdf Supplementary Document
CMS-10840_Agent-Broker Consent_Supporting Statement.docx Supporting Statement A
Agent/Broker Eligibility and Consent Records Form and Instruction
Agent/Broker Eligibility and Consent Documentation Form