Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual MLR Report Modified 3394 212361 0 Form and Instruction CMS-10418
Form and Instruction CMS-10418
Disbursement of Rebate Checks Modified 1151040 19017 0
Notice of Rebate to Enrollees Modified 5709045 40223 0 Form and Instruction CMS-10418
Form and Instruction CMS-10418
Form and Instruction CMS-10418
Form and Instruction CMS-10418
Retention of Records Modified 517 200 0
Total burden requested under this ICR: 6863996 271801 0  
To view an IC, click on IC Title