Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Deemed Compliance Reporting Modified 384 576 0
SBC Disclosure Modified 24211211 203564 10494154 Other-Maternity Care Narrative
Other-Diabetes 2 Narrative
Other-Uniform Glossary Anchor
Other-What the Plan Covers and What You Pay (No Answers)
Other-Why This Matters for SBC (Yes Answers)
Instruction
Instruction
Other-Completed SBC Template
Other-SBC Template
Other-Foot Fracture Narrative
Instruction
Other-Coverage Calculator
Other-Template
Other-Diabetes Guide
Other-Glossary Anchor
Other-Template
Instruction
Instruction
Other-Uniform Glossary
Form CMS-10407
Total burden requested under this ICR: 24211595 204140 10494154  
To view an IC, click on IC Title