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Agenda
Reg Review
ICR
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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