Essential Health Benefits Benchmark Plans and Accrediting Entities Data Collection

Essential Health Benefits Benchmark Plans (CMS-10488)

OMB: 0938-1174

IC ID: 203739

Information Collection (IC) Details

View Information Collection (IC)

Essential Health Benefits Benchmark Plans and Accrediting Entities Data Collection
 
No Modified
 
Voluntary
 
45 CFR 156.120

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10488 Data Collection Instructions CMS-10448 - Data Collection Instructions..docx Yes Yes Fillable Fileable

Health Health Care Services

 

51 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 51 0 0 -107 0 158
Annual IC Time Burden (Hours) 77 0 0 -555 0 632
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix B - Benchmark Plan Data Requirements Appendix_B_EHB_Elements 08-14-2012.docx 08/15/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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