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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
EHB Dental Plan Issuers
New
20
10
0
Form and Instruction
CMS-10448
Notice of Intent to Provide Dental Coverage in the Exchange
Essential Health Benefits Benchmark Plans and Accrediting Entities Data Collection
New
153
612
0
Form and Instruction
CMS-10448
EHB Issuer Benchmark
Form and Instruction
CMS-10448
EHB CMS State Benchmark
Form and Instruction
CMS-10448
State Mandate Template
Instruction
Form and Instruction
CMS-10448
EHB Prescription Drug Template
Form and Instruction
CMs-10448
Prescription Drug Formulary
Form and Instruction
CMS-10448
EHB Benefits Template
Form and Instruction
CMS-10448
EHB State Submission of State Mandates Template
Total burden requested under this ICR:
173
622
0
To view an IC, click on IC Title