Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Issuer - Attest (Individual) Modified 350 175 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuer - Attest (Small Group) Modified 150 75 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuer - Data Entry (Individual) Modified 350 1400 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuer - Data Entry (Small Group) Modified 150 600 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuer - Troubleshoot (Individual) Modified 350 2800 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuer - Troubleshoot (Small Group) Modified 150 1200 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuers - Submission Preparation (Individual) Modified 350 18200 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuers - Submission Preparation (Small Group) Modified 150 7800 0 Form and Instruction CMS-10320
Instruction
Instruction
Issuers Training and Communication Modified 814 24420 0 Form and Instruction CMS-10320
Instruction
Instruction
States - Data submission Removed 0 0 0 Form and Instruction CMS-10320
Instruction
States - Data Collection Removed 0 0 0 Form and Instruction CMS-10320
Instruction
States - Training, reviewing regulation, and analyzing data Removed 0 0 0 Form and Instruction CMS-10320
Instruction
Total burden requested under this ICR: 2814 56670 0  
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