Reinsurance and Risk Adjustment

Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433)

OMB: 0938-1187

IC ID: 206069

Information Collection (IC) Details

View Information Collection (IC)

Reinsurance and Risk Adjustment
 
No Modified
 
Mandatory
 
45 CFR 153.220, 410, 540, 610

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10433 Reinsurance and Risk Adjustment Bank Server CMS-10433 - Appendix M RI RA Programs and Payment Ops Data Requirements.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

2,400 0
   
Private Sector Not-for-profit institutions, 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 7,800 0 0 -8,600 0 16,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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