Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual MLR Report Modified 2442 151037 0 Form and Instruction CMS-10418
Form and Instruction CMS-10418
Instruction
Form CMS-10418
Disbursement of Rebate Checks Modified 3272220 33365 0
Notice of Rebate to Enrollees Modified 640912 16023 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 2834 172 0
Total burden requested under this ICR: 3918408 200597 0  
To view an IC, click on IC Title