Issuers - Submission Preparation (Individual)

Health Care Reform Insurance Web Portal (CMS-10320)

OMB: 0938-1086

IC ID: 199277

Information Collection (IC) Details

View Information Collection (IC)

Issuers - Submission Preparation (Individual)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10320 Appendix C - Insurance Issurer and Product Level Data CMS-10320 - Appendix C Insurance Issuer and Product Level Data.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10320 Appendix D - Data Collection 2014 CMS-10320 - Appendix D_Data Collection2014.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

450 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 450 0 0 0 0 450
Annual IC Time Burden (Hours) 19,800 0 0 0 0 19,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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