Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
QHP Certification Modified 215 42140 0 Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Form and Instruction CMs-10433
Form and Instruction CMS-10433
Form and Instruction CMS-10433
Other-Data Elements
Risk Adjustment Modified 623 2025 0 Form and Instruction CMS-10433
Stand-Alone Dental Issuers: QHP Certification Modified 212 16960 0
States: SBE's, Federal Platform and Partnership States Modified 3 30 0 Form CMS-10433
Total burden requested under this ICR: 1053 61155 0  
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