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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Annual MLR Report
Modified
1897
119401
0
Form and Instruction
CMS-10418
MLR Reporting Form
Form and Instruction
CMS-10418
MLR Form Instructions
Instruction
Form
CMS-10418
Risk Corridors Plan Level Form
Notice of rebates to Subscribers and Policyholders
Modified
7250812
65105
0
Private Company for Disbursement of checks
Modified
1912240
47807
0
Form
CMS-10418
MLR Notice 1 - Individual Market to Subscribers
Form
CMS-10418
MLR Notice 2 Group Markets - Rebate to Policyholder
Form
CMS-10418
MLR Notice 3 - Group Markets - Rebate to Subscribers
Instruction
Form
CMS-10418
MLR Notice Individual Market to Subscribers Optional B
Retention of Records
Modified
1897
114
0
Total burden requested under this ICR:
9166846
232427
0
To view an IC, click on IC Title