Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult Qualified Health Plan Enrollee Experience Survey Modified 180010 57610 0 Form and Instruction CMS-10488 Vendor Form
Form and Instruction CMS-10488 QHP Enrollee Survey (Beta Test) - Chinese
Form and Instruction CMS-10488 QHP Enrollee Survey (Beta Test) - English
Form and Instruction CMS-10488 QHP Enrollee Survey (Beta Test) - Spanish
Marketplace Survey Data Collection Modified 64350 25740 0 Form and Instruction CMS-10488 Marketplace Survey - Chinese
Form and Instruction CMS-10488 Marketplace Survey Spanish
Form and Instruction CMS-10488 Marketplace Survey English
Total burden requested under this ICR: 244360 83350 0  
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