View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Summary of Benefits and Coverage and Uniform Glossary
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable
Form and Instruction CMS-10407 Yes No Fillable Fileable

Health Health Care Services

 

333 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,000,000 13,000,000 0 0 0 0
Annual IC Time Burden (Hours) 310,000 310,000 0 0 0 0
Annual IC Cost Burden (Dollars) 1,600,000 1,600,000 0 0 0 0

Title Document Date Uploaded
CMS-10407_Draft_Instruction_Guide_for_Group_Policies 08/25/2011
CMS-10407_Draft_Instruction_Guide_for_Individually_Purchased_or_Non-Group_Policies 08/25/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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