Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Issuer - Attest (Individual) Modified 450 900 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Attest (Small Group) Modified 700 1400 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 10350\10320\Files for 30-day 8-7-12\CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Data Entry (Individual) Modified 450 1800 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation20120801
Issuer - Data Entry (Small Group) Modified 700 2800 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Troubleshoot (Individual) Modified 450 3600 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Troubleshoot (Small Group) Modified 700 5600 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuers - Submission Preparation (Individual) Modified 450 19800 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuers - Submission Preparation (Small Group) Modified 700 30800 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuers Training and Communication Modified 800 24000 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 CMS-10320 Appendix_C_InsuranceIssuers
Form and Instruction CMS-10320 CMS-10320 Appendix_D_BenefitsPremiumsInformation
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 CMS-10320 Appendix_E_StateRequirements
States - Data Collection Modified 50 400 0 Form and Instruction CMS-10320 CMS-10320.FINAL State Instructions and Instrument
Form and Instruction CMS-10320 CMS-10320 Appendix_E_StateRequirements
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 CMS-10320 Appendix_E_StateRequirements
Total burden requested under this ICR: 5550 91225 0  
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