Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual MLR Report Modified 3394 216435 0 Form CMS-10418 MLP Annual Report
Instruction
Disbursement of Rebate Checks Modified 1043130 26078 0
Notice of Rebate to Enrollees Modified 5418427 51050 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 Modified 522 205 0
Total burden requested under this ICR: 6465473 293768 0  
To view an IC, click on IC Title