Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Submission of Transparency in Coverage Data Modified 400 57200 0 Form and Instruction CMS-10572 QHP Issuer Data Collection - Appendix A2
Form and Instruction CMS-10572 Data Submission Template - Appendix C
Form and Instruction CMS-10572 Data Elements - Appendix A1
Form and Instruction CMS-10572 Data Templates Appendix B
Form and Instruction CMS-10572 Data Template Appendix B2
Form and Instruction CMS-10572 Data Template - Appendix D
Total burden requested under this ICR: 400 57200 0  
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