Summary of Benefits and Coverage and Uniform Glossary (CMS-10407)

ICR 202504-0938-009

OMB: 0938-1146

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10407 - Non-sub Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2025-04-10
Crosswalk of changes to SBC PRA (CMS-10407)_02.03.25.docx Supplementary Document	2025-04-10
Non-sub Change Request Memo (CMS-10407_SBC PRA)_clean.docx Justification for No Material/Nonsubstantive Change	2024-12-17
SBC PRA 30 day supporting statement OMB-F.docx Supporting Statement A	2023-05-26
CMS-10407 - Comment Response Document.pdf Supplementary Document	2023-01-12

IC Document Collections

IC ID	Document Title	Status
201038	Deemed Compliance Reporting	Unchanged
199007	SBC Disclosure Other-Maternity Care Narrative	Modified