Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Identification of QHPs Modified 255 7 0
One-Time Technical Build Modified 23 3970 0
PBM - Annual Submission of Prescription Benefit Information Modified 23 1278 0 Form and Instruction CMS-10725
Form CMs-10725
Instruction
Form and Instruction CMS-10725
Form and Instruction CMS-10725
Total burden requested under this ICR: 301 5255 0  
To view an IC, click on IC Title