Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Issuer - Attest (Individual) Modified 450 225 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuer - Attest (Small Group) Modified 500 250 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuer - Data Entry (Individual) Modified 450 1800 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuer - Data Entry (Small Group) Modified 500 2000 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuer - Troubleshoot (Individual) Unchanged 450 3600 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuer - Troubleshoot (Small Group) Modified 500 4000 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuers - Submission Preparation (Individual) Modified 450 23400 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuers - Submission Preparation (Small Group) Modified 500 26000 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
Issuers Training and Communication Modified 700 21000 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Form and Instruction CMS-10320
States - Data submission Modified 50 25 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
States - Data Collection Unchanged 50 400 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
States - Training, reviewing regulation, and analyzing data Modified 50 100 0 Form and Instruction CMS-10320
Form and Instruction CMS-10320
Total burden requested under this ICR: 4650 82800 0  
To view an IC, click on IC Title