Burden Estimates

Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers

OMB: 0938-1099

IC ID: 193861

Information Collection (IC) Details

View Information Collection (IC)

Burden Estimates
 
No Modified
 
Mandatory
 
45 CFR 147.136

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10338 Letter to Issuers.pdf Yes No Fillable Fileable
Instruction CMS-10338 Letter to Issuers in Territories.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 abd_model_notice CMS-10338 abd_model_notice.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 final_iabd_model_notice CMS-10338 final_iabd_model_notice.pdf Yes No Fillable Fileable
Form and Instruction CMS-10338 CMS-10338 external_final_decision_model_notice CMS-10338 external_final_decision_model_notice.pdf Yes No Fillable Fileable

Health Health Care Services

 

46,773 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 218,000,000 0 0 147,165,403 70,834,597 0
Annual IC Time Burden (Hours) 930,000 0 0 -267 930,267 0
Annual IC Cost Burden (Dollars) 52,000,000 0 0 15,224,933 36,775,067 0

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