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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Annual MLR Report
New
5534
352563
0
Form
CMS-10418
.MLR_Annual_Form
Instruction
Instruction
Disbursement of Rebate Checks
New
2725464
68136
0
Notice of Rebate to Enrollees
New
7205139
58897
0
Form
CMS-10418
Notice_#1_to_Subscribers_in_Individual_Market
Form
CMS-10418
Notice_#2_Group_Markets_Rebate_to_Policyholder
Form
CMS-10418
Notice_#3_Group_Markets_Rebate_to_Subscribers
Instruction
Instruction
Instruction
Retention of Records
New
527
332
0
Total burden requested under this ICR:
9936664
479928
0
To view an IC, click on IC Title