CMS-10265 Burden Table vj508

April 18 Draft CMS-10265 Burden Table-FINAL vj508.pdf

Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007

CMS-10265 Burden Table vj508

OMB: 0938-1074

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Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and
SCHIP Act of 2007 (MMSEA) (P.L.110-173)

Burden Table
Insurer Type

GHP – Private
GHP – State, Local, Tribal
Govts.
GHP – Private System Set-Up
GHP – State, Local, Tribal
Govts. System Set-Up
GHP – Private Administrative
GHP – State, Local, Tribal
Govts. Administrative
GHP Totals
Non-GHP – Private
Non-GHP – State, Local, Tribal
Gov.
Non-GHP – Federal Government
Non-GHP Private System SetUp & Administrative
Non-GHP-State, Local, Tribal
Gov. System Set-Up &
Administrative
Non-GHP – Federal System SetUp & Administrative
Non-GHP Totals
Grand Totals

Respondents

Responses

Burden
Hours

Groupings
from
Supporting
Statement

1,550
100

3,515,000
185,000

292,905
15,417 308,322

1,550
100

1,550
100

1,550
100

1,550
100

3,100
200

1650**

3,703,300

362,195

19,920
100

2,883,280
1400

240,264
117 243,808

1,077
19,920

41,122
19,920

3,427
312,246

100

100

743

47,508
3,065 50,573

3,300

325,294
1,077

1,077

12,305

21,097***

2,946,899

569,102

22,747

6,650,199

931,297

Numbers are rounded to the nearest whole number
** 1,650 is the total number of respondents. There are two respondent pools and each
has three sets of burden to address.
***21,097 is the total number of respondents. There are three respondent pools and each
has two sets of burden to address.


File Typeapplication/pdf
File TitleMandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (MMSEA) (P
AuthorCMS
File Modified2013-04-25
File Created2013-04-25

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