Information Collection Request

Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)

ICR 201605-0938-001 · OMB 0938-1310 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10572 QHP Issuer Data Collection and Display Form New Available
CMS-10572 - Transparency 30_day comment chart 61616.docx Supplementary Document Uploaded 2016-06-16 Available
CMS-10572 - Transparency - Comment and Response.pdf Supplementary Document Uploaded 2016-05-02 Available
CMS-10572 - Supporting Statement 30-day.pdf Supporting Statement A Uploaded 2016-05-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
221316 QHP Issuer Data Collection and Display Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved
475 0 0
72 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
QHP Issuer Data Collection and Display CMS-10572 QHP Issuer Data Collection and Display

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 475 0 475 0 0 0
Annual Time Burden (Hours) 72 0 72 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No