Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Issuer - Attest (Individual) New 450 900 0 Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Attest (Small Group) New 700 1400 0 Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Individual) New 450 1800 0 Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Small Group) New 700 2800 0 Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Individual) New 450 3600 0 Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Small Group) New 700 5600 0 Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Basic Information Submission Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
Issuers - Pricing and Benefit Updates Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Deliberative Document
Issuers - Pricing and Benefit data Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Deliberative Document
Issuers - Submission Preparation (Individual) New 450 18000 0 Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Submission Preparation (Small Group) New 700 28000 0 Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Training, reviewing regulation, and analyzing data Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
Issuers Training and Communication New 800 24000 0 Form and Instruction CMS-10320 Appendix_C_InsuranceIssuers2
Form and Instruction CMS-10320 Appendix_D_BenefitsPremiumsInformation2
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Premium Estimation Process Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Deliberative Document
Query Writing and Record Processing Removed 0 0 0 Form and Instruction CMS-10320 CMS-10320.Deliberative Document
States - Data submission Modified 50 25 0 Form and Instruction CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).
Form and Instruction CMS-10320 Appendix_E_StateRequirements
States - Data Collection New 50 400 0 Form and Instruction CMS-10320 Appendix_E_StateRequirements
Form and Instruction CMS-10320 CMS-10320.FINAL State Instructions and Instrument
States - Training, reviewing regulation, and analyzing data Modified 50 100 0 Form and Instruction CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).
Form and Instruction CMS-10320 Appendix_E_StateRequirements
Total burden requested under this ICR: 5550 86625 0  
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