QHP Issuer Data Collection and Display

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

OMB: 0938-1310

IC ID: 221316

Information Collection (IC) Details

View Information Collection (IC)

QHP Issuer Data Collection and Display
 
No New
 
Mandatory
 
45 CFR 156.220

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10572 QHP Issuer Data Collection and Display CMS-10572 - Transparency - Appendix A.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

475 0
   
Private Sector 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 475 475 0 0 0 0
Annual IC Time Burden (Hours) 72 72 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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