Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Administrative Burden Related to Audits of the Risk Adjustment Covered Issuers (§153.410(d); §153.620(c)) New 120 10800 0
Adminstative Appeals for Premium Stabilization Program, Federal Exchange User Fees, Premium Tax Credits and Costs Sharing Reductions (156.1220) New 24 24 0
Calculation of Reinsurance Contributions Modified 226 8362 0
Confirmation of Interim Reports (153.710) New 2400 19200 0
Data Validation Requirements When HHS Operates Risk Adjustment Removed 0 0 0
Health Insurance Issuer Standards Related to the Transitional Reinsurance Program (153.400-153.410) Modified 2400 348000 0
Health Insurance Issuer Standards for the Risk Adjustment Program (153.610-153.620) Removed 0 0 0
Initial Validation Audit Identification and Inter-rater Reliability Report (153.630(b)(1) and (b)(8) New 4800 2400 0
Risk Adjustment Data Validation (153.630) New 720000 1281600 0
Risk Corridors Data Validation (153.530 and 153.540) New 1200 1800 0
Risk adjustment and reinsurance distributed data collection (153.700(a)) New 2400 13824000 0
State Notice of Insurance Benefits and Payment Parameters (153.100-153.110) Removed 0 0 0
State Standards for the Risk Adjustment Program (153.310, 153.330) - Request and Update for Alternative Methodology Removed 0 0 0
State Standards for the Transitional Reinsurance Program in the Individual Market (153.210-153.220, 153.240) - Recordkeeping Removed 0 0 0
Supplemental Diagnosis (153.700(a)) New 5760000 4147200 0
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a)) Modified 2400 7200 0
Total burden requested under this ICR: 6495970 19650586 0  
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