Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Allowed Amount File New 8163 1616828 0 Form and Instruction CMS-10715 APPENDIX 2: In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Customer Service Representatives Training New 6530 13060 0
In-Network Rate File New 8163 3133094 0 Form and Instruction CMS-10715 APPENDIX 2: In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Internet-based Self-Service Tool New 980 22835410 0 Form and Instruction CMS-10715 In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Prescription Drug File New 8163 1009538 0 Other-Data Elements
Requests for Mailed Disclosures New 42463 10616 0 Other-Instruction
Total burden requested under this ICR: 74462 28618546 0  
To view an IC, click on IC Title