Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Identification of QHPs New 275 7 0
One-Time Technical Build New 40 3970 0
PBM - Annual Submission of Prescription Benefit Information New 40 1278 0 Form and Instruction CMS-10725
Form CMs-10725
Instruction
Form and Instruction CMS-10725
Form and Instruction CMS-10725
Total burden requested under this ICR: 355 5255 0  
To view an IC, click on IC Title