OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

No Surprises Act: IDR Process

OMB 1210-0169 ยท DOL/EBSA.

OMB 1210-0169

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Request of Extension of Time Periods for Extenuating Circumstances Other-Request of Extension of Time Periods for Extenuating Circu
IDR Entity Certification and IDR Entity Monthly Reporting Other-IDR Certification Application
Federal IDR Process for Air Ambulance Services Other-Notice of Open Negotiation
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities Other-Notice of Open Negotiation

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-1545-001CF RCF Recertification 2026-06-04 Approved
202606-1210-003 Revision of a currently approved collection 2026-06-09
202606-0938-001CF RCF Recertification 2026-06-04 Approved
202508-1210-009 Extension without change of a currently approved collection 2025-11-26
202305-1210-002 Revision of a currently approved collection 2023-11-03 Comment filed on proposed rule and continue
202302-1545-001CF RCF Recertification 2023-02-24 Approved
202302-1210-003 No material or nonsubstantive change to a currently approved collection 2023-02-24 Approved without change
202302-0938-001CF RCF Recertification 2023-02-24 Approved
202211-1545-003CF RCF Recertification 2022-11-14 Approved
202211-0938-001CF RCF Recertification 2022-11-14 Approved
202207-1210-004 Revision of a currently approved collection 2022-08-26 Approved with change
202206-1545-001CF RCF Recertification 2022-06-15 Approved
202206-0938-001CF RCF Recertification 2022-06-15 Approved
202204-1545-001CF RCF Recertification 2022-04-11 Approved
202204-1210-002 Revision of a currently approved collection 2022-04-25 Approved with change
202204-0938-001CF RCF Recertification 2022-04-11 Approved
202203-1545-007CF RCF New 2022-03-21 Approved without change
202202-1210-002 Revision of a currently approved collection 2022-04-05 Approved with change
202110-1210-002 Revision of a currently approved collection 2021-10-07 Approved without change
202110-0938-001CF RCF New 2021-10-21 Approved without change
202108-1210-008 New collection (Request for a new OMB Control Number) 2021-10-01 Preapproved

OMB Details

Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities

Federal Enterprise Architecture: Income Security - General Retirement and Disability