Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Issuer - Attest (Individual) Modified 450 225 0 Form and Instruction CMS-10320 CMS-1032 - .Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2020
Issuer - Attest (Small Group) Modified 500 250 0 Form and Instruction CMS-10320 CMS-10320 - Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection
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 Appendix C - Issurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2020
Issuer - Data Entry (Small Group) Modified 500 2000 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2020
Issuer - Troubleshoot (Individual) Unchanged 450 3600 0 Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2017
Issuer - Troubleshoot (Small Group) Modified 500 4000 0 Form and Instruction CMS-10320 CMS-10320 Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2020
Issuers - Submission Preparation (Individual) Modified 450 23400 0 Form and Instruction CMS-10320 CMS-10320 - Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendix C - Insurance Issurer and Product Level Data
Form and Instruction CMS-10320 Appendix D - Data Collection 2021
Issuers - Submission Preparation (Small Group) Modified 500 26000 0 Form and Instruction CMS-10320 CMS-10320 - Issuer - FINAL Instructions and Instruments
Form and Instruction CMS-10320 Appendic C - Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Data Collection 2020
Issuers Training and Communication Modified 700 21000 0 Form and Instruction CMS-10320 CMS-10320 - Issuer - Instructions and Instruments
Form and Instruction CMS-10320 Appendix C Insurance Issuer and Product Level Data
Form and Instruction CMS-10320 Appendix D
States - Data submission Modified 50 25 0 Form and Instruction CMS-10320 Health Care Reform Insurance Web Portal Requirements - State Instructions and Instrument
Form and Instruction CMS-10320 Appendix E - State Requirements
States - Data Collection Unchanged 50 400 0 Form and Instruction CMS-10320 State instructions and instruments
Form and Instruction CMS-10320 Appendix E - State Requirements
States - Training, reviewing regulation, and analyzing data Modified 50 100 0 Form and Instruction CMS-10320 State Instructions and Instrument
Form and Instruction CMS-10320 Appendix E - State Requirements
Total burden requested under this ICR: 4650 82800 0  
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