Information Collection

Health Insurance Issuer Standards for the Risk Adjustment Program (153.610-153.620)

IC 198556 under ICR 201405-0938-006 · OMB 0938-1155.

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Information Collection (IC) Details

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IC Title:	Health Insurance Issuer Standards for the Risk Adjustment Program (153.610-153.620)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 153.610-153.620

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,827	1,827
Annual IC Time Burden (Hours)	-36,540	36,540
Annual IC Cost Burden (Dollars)	0	0

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