Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Cost-sharing Requirements 156.130(d) Unchanged 650 2600 0
Data requirements (ยง 153.710(d)) Modified 650 3900 0 Other-Data Elements
Risk adjustment and reinsurance distributed data collection (153.700(a)) Modified 650 3744000 0 Other-Data Elements
Supplemental Diagnosis (153.700(a)) Modified 650 374400 0 Other-Data Elements
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a)) Modified 650 1950 0 Other-Data Elements
Total burden requested under this ICR: 3250 4126850 0  
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