Product Discontinuance Notice for QHP Issuers

Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)

OMB: 0938-1254

IC ID: 212939

Information Collection (IC) Details

View Information Collection (IC)

Product Discontinuance Notice for QHP Issuers
 
No New
 
Mandatory
 
45 CFR 147.106 45 CFR 156.1255

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10527 Discontinuation Notices CMS-10527 Attachments - Renewal and Discontinuation Notices_final.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

575 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 1,150 1,150 0 0 0 0
Annual IC Time Burden (Hours) 8,338 8,338 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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