OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

MLR Risk Corridors Submission Checklist and the Risk Corridors Data Discrepancy Worksheet

IC 218064 under ICR 201508-0938-016 · OMB 0938-1283.

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

MLR Risk Corridors Submission Checklist and the Risk Corridors Data Discrepancy Worksheet
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10582_2014 Risk Corridors Validation Instructions.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

250 0
   
Private Sector Businesses or other for-profits
 
   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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 14,500 0 14,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.