Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Implementation and reporting for the Quality Rating System (QRS) Modified 250 335750 0
Monitoring and appeals process for survey vendors Modified 14 14 0 Form and Instruction CMS-10520 Vendor Appeal Form
Patient safety reporting standards for QHP issuers Modified 250 500 0
Reporting for the Enrollee Satisfaction Survey (ESS) Modified 250 12500 0
Total burden requested under this ICR: 764 348764 0  
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