Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application to State Exchanges New 480 111320 7988733
DE Entities to Implement Separate Plan Display Requirement New 40 800 64032
DE Entities to Implement the Standardized Disclaimer Requirement New 100 700 53952
DE Entity Operational Readiness Review (ORR) New 95 2689 200372 Form and Instruction CMS-10877
Form and Instruction CMS-10877
Instruction
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form CMS-10877
DE Entity Web-brokers and QHP Issuers to Implement Mandate for HealthCare.gov website Changes New 125 3075 245290
Direct Enrollment Entities to Implement Application Assister Requirements New 20 15000 1034100
Direct Enrollment Entities to Implement Third-Party Entity Contractual Requirements New 25 500 37500
Direct Enrollment Entity Separate Plan Display Exception Requirement New 20 400 32016
Issuers to Implement Website Display Requirements for QHPs New 75 1500 120060
Web-Brokers to Provide the State Exchange a List of Agents or Brokers New 1248 64896 117388
Web-broker Operational Readiness Reviews (ORR) New 20 380 27786 Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Form and Instruction CMS-10877
Web-broker Website Explanation of Rationale for QHP Recommendations and Methodology for Default Display New 20 100 8004
Web-broker Website Required QHP Comparative Information and Enrollment Support Disclaimer New 20 500 40020
Web-brokers to Implement Application to State Exchanges New 20 6100 473020
Web-brokers to Implement the General non-FFE Disclaimer Requirement New 20 140 10790
Web-brokers to Prominently Display Consumer Eligibility Results for Advance Payments of the Premium Tax Credit and Cost-sharing Reductions New 20 400 16008
Total burden requested under this ICR: 2348 208500 10469071  
To view an IC, click on IC Title