Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual MLR Report Modified 1843 106314 0 Form and Instruction CMS-10418
Form and Instruction CMS-10418
Instruction
Form CMS-10418
Notice of rebates to Subscribers and Policyholders Modified 4200368 38824 0 Other-Template
Other-Template
Other-Template
Private Company for Disbursement of checks Modified 994046 24851 0 Form CMS-10418
Form CMS-10418
Form CMS-10418
Instruction
Form CMS-10418
Retention of Records Modified 1675 101 0
Total burden requested under this ICR: 5197932 170090 0  
To view an IC, click on IC Title