Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual MLR Report Modified 3087 196668 0 Instruction
Form CMS-10418
Instruction
Disbursement of Rebate Checks Modified 1540728 38518 0
Notice of Rebate to Enrollees Modified 8324640 68048 0 Form CMS-10418
Form CMS-10418
Form CMS-10418
Instruction
Instruction
Instruction
Retention of Records Modified 502 316 0
Total burden requested under this ICR: 9868957 303550 0  
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