Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Essential Community Provider and Network Adequacy Data Requirements Modified 365 4196 316583 Form and Instruction CMS-10803
Other-Screenshots
QHP Issuers for the Appointment Wait Time Secret Shopper Data Collection New 171 245214 0
Total burden requested under this ICR: 536 249410 316583  
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