OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Information Collection Requirements Referenced in HIPAA for the Individual Market, Supporting Regulations 45 CFR 148, and Forms/Instructions (CMS-R-205)

IC 43665 under ICR 200908-0938-001 · OMB 0938-0703.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
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Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 2,979,801 0 0 -7,700 0 2,987,501
Annual IC Time Burden (Hours) 856,384 0 0 -11,763 0 868,147
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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