Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application to State Exchanges Modified 114 20706 1480882
DE Entities to Implement Separate Plan Display Requirement Unchanged 40 800 64032
DE Entities to Implement the Standardized Disclaimer Requirement Modified 100 400 31324
DE Entity Operational Readiness Review (ORR) Modified 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
Form and Instruction CMS-10877
Form and Instruction CMS-10877
DE Entity Web-brokers and QHP Issuers to Implement Mandate for HealthCare.gov website Changes Unchanged 125 3075 245290
Direct Enrollment Entities to Implement Application Assister Requirements Unchanged 20 15000 1034100
Direct Enrollment Entities to Implement Third-Party Entity Contractual Requirements Unchanged 25 500 37500
Direct Enrollment Entity Separate Plan Display Exception Requirement Unchanged 20 400 32016
Issuers to Implement Website Display Requirements for QHPs Unchanged 75 1500 120060
Web-Brokers to Provide the State Exchange a List of Agents or Brokers Modified 1040 5000 466960
Web-broker Operational Readiness Reviews (ORR) Unchanged 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 Unchanged 20 100 8004
Web-broker Website Required QHP Comparative Information and Enrollment Support Disclaimer Modified 20 460 40020
Web-brokers to Implement Application to State Exchanges Modified 20 5100 394620
Web-brokers to Implement the General non-FFE Disclaimer Requirement Modified 20 80 6264
Web-brokers to Prominently Display Consumer Eligibility Results for Advance Payments of the Premium Tax Credit and Cost-sharing Reductions Modified 20 100 16008
Total burden requested under this ICR: 1774 56290 4205238  
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