OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey of Plan Sponsors

IC 205535 under ICR 201301-0938-008 · OMB 0938-1150.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Survey of Plan Sponsors
 
No New
 
Voluntary
 
45 CFR 149.200

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10408 Revised_Survey_Screenshots CMS-10408_Revised_Survey_Screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10408 ERRP Survey CMS-10408_ERRP_Revised_Survey_Clean_FINAL.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

927 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 927 0 927 0 0 0
Annual IC Time Burden (Hours) 10,197 0 10,197 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10408_Subsequent_Email_Clean_Sponsor_Did_Not_Previously_Respond_FINAL CMS-10408_Subsequent_Email_Clean_Sponsor_Did_Not_Previously_Respond_FINAL.pdf 01/25/2013
CMS-10408_Subsequent_Email_Clean_Sponsor_Previously_Responded_FINAL CMS-10408_Subsequent_Email_Clean_Sponsor_Previously_Responded_FINAL.pdf 01/25/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.