Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
155.225 - CAC Recertification New 5000 17018 0
155.225 - Recertification Training New 30000 1500 0
155.225(b)(1) (organization designation by Exchange) Modified 5000 5000 0
155.225(b)(1) (organization follow-up for application) Modified 1000 500 0
155.225(b)(1) (organization list) Modified 5000 1250 0
155.225(b)(1)(i) (certificate issuance) Modified 30000 480 0
155.225(b)(1)(i) (organization attestation) Modified 5000 1250 0
155.225(b)(1)(ii) - Identification number record retention Unchanged 30000 480 0 Form and Instruction CMS-10494
155.225(b)(1)(ii) - Issuance of unique registration identification number Unchanged 30000 900 0 Form and Instruction CMS-10494
155.225(d)(1) - Training Registration Unchanged 30000 900 0 Form and Instruction CMS-10494
155.225(d)(1) - Training certificate proof Unchanged 30000 900 0 Form and Instruction CMS-10494
155.225(d)(1) - Training certificate retention Unchanged 30000 480 0 Form and Instruction CMS-10494
155.225(d)(2) and (f) (CAC authorization to consumer) Modified 2200000 585200 0
155.225(d)(2) and (f) (organization record of authorization) Modified 2200000 70400 0
155.255 (d)(7) - Exchange Recertification New 18 1091 0
Total burden requested under this ICR: 4631018 687349 0  
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