Information Collection Request

Health Care Reform Insurance Web Portal and Supporting Authority Contained in Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA)

ICR 201005-0938-009 · OMB 0938-1086 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10320 Issuers - Pricing and Benefit Updates Form and Instruction Modified Available
Form CMS-10320 Issuers - Pricing and Benefit Data Form and Instruction Modified Available
Form CMS-10320 Issuers - Basic Information submission Form and Instruction Modified Available
Form CMS-10320 Issuers - Training, reviewing regulation, and analyzing data Form and Instruction Modified Available
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified Repair queued
Form CMS-10320 States - Data Submission Form and Instruction Modified Available
CMS-10320.Justification for Nonmaterial change.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-05-07 Repair queued
CMS-10320.StateTemplateCrosswalk.doc Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Health Insurance Oversight System (HIOS) Technical Instructions_STATE_Redline.pdf Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Appendix_B_Section1103.docx Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Appendix_D_InsuranceIssuers (4-30-10).docx Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Appendix_E_BenefitsPremiumsInformation (4-28-10).docx Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Appendix_F_PoolRequirements (4-27-10).doc Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.PortalPRAJustification-(4-30-10).doc Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Appendix_C_StateRequirements (4-28-10).docx Supplementary Document Uploaded 2010-05-07 Available
CMS-10320.Supporting_Statement Part A (4-30-10).doc Supporting Statement A Uploaded 2010-05-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192730 Issuers - Pricing and Benefit Updates Form and Instruction Modified
192729 Issuers - Pricing and Benefit Data Form and Instruction Modified
192728 Issuers - Basic Information submission Form and Instruction Modified
192727 Issuers - Training, reviewing regulation, and analyzing data Form and Instruction Modified
192726 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified
192725 States - Data Submission Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2010 10/31/2010 10/31/2010
27,400 0 27,400
20,216 0 20,216
0 0 0







Reginfo record details
  No