PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Summary of Benefits and Coverage and Uniform Glossary
New
13000000
310000
1600000
Form and Instruction
CMS-10407
Blank
Form
CMS-10407
CMS-10407_Appendices_Part_7_(D-1)-F
Form and Instruction
CMS-10407
CMS-10407_Coverage_Example_Narratives
Form and Instruction
CMS-10407
CMS-10407_Blank_Template_of_Coverage-Example_Condition-F
Form and Instruction
CMS-10407
CMS-10407_Brst_Cncer
Form and Instruction
CMS-10407
CMS-10407_Diabetes
Form and Instruction
CMS-10407
CMS-10407_Maternity
Form and Instruction
CMS-10407
CMS-10407_PPACA_Glossary
Form and Instruction
CMS-10407
CMS-10407_PPACA_No_Answers
Form and Instruction
CMS-10407
CMS-10407_PPACA_Yes_Answers
Form and Instruction
CMS-10407
CMS-10407_Summary_of_Coverage_(Blank)-F
Form and Instruction
CMS-10407
CMS-10407_Summary_of_Coverage_(Populated)-F
Form and Instruction
CMS-10407
CMS-10407_Summary_of_Coverage_(Populated)-F
Total burden requested under this ICR:
13000000
310000
1600000
To view an IC, click on IC Title
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