Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey New 755043 100708 0 Form and Instruction CMS-10488 Chinese Cover Letter
Form and Instruction CMS-10488 English/Spanish
Form and Instruction CMS-10488 Vendor Participation Form
Form and Instruction CMS-10488 Chinese Marketplace Survey
Form and Instruction CMS-10488 English Marketplace Survey
Form and Instruction CMS-10488 Spanish Marketplace Survey
Form and Instruction CMS-10488 Chinese QHP Enrollee Survey
Form and Instruction CMS-10488 English QHP Enrollee Survey
Form and Instruction CMS-10488 Spanish QHP Enrollee Survey
Total burden requested under this ICR: 755043 100708 0  
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