PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Deemed Compliance Reporting
Unchanged
124800
480
0
SBC Disclosure
Unchanged
41164763
324853
4116476
Form and Instruction
CMS-10407
Maternity Scenario
Form and Instruction
CMS-10407
Diabetes Narrative
Form
CMS-10407
Uniform Glossary
Form and Instruction
CMS-10407
What the plan covers and What you pay (No Answers)
Form and Instruction
CMS-10407
What the plan covers and what you play (Yes Answes)
Form and Instruction
CMS-10407
Group Instructions
Form and Instruction
CMS-10407
Instructions - Individual
Form and Instruction
CMS-10407
Completed SBC Sample
Form and Instruction
CMS-10407
Blank Template
Form
CMS-10407
Coverage Examples - Narrative Foot Fracture
Form and Instruction
CMS-10407
Coverage Examples Calculator
Form
CMS-10407
Coverage Examples Calculator
Form and Instruction
CMS-10407
Having a baby
Form and Instruction
CMS-10407
Managing diabetes
Form
CMS-10407
SBC Glossary Anchor
Form and Instruction
CMS-10407
Simple Fracture
Total burden requested under this ICR:
41289563
325333
4116476
To view an IC, click on IC Title
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.