Information Collection Request

QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589)

ICR 201608-0938-004 · OMB 0938-1309 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10589 Reporting Form and Instruction Modified Available
CMS-10589.Supporting Statement Part A - FINAL (1-9-17).doc Supporting Statement A Uploaded 2017-01-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220190 Reporting Form and Instruction Modified
220188 Processing and Maintenance Unchanged
220186 Legal Review Unchanged
220185 DUA and non-public analyses agreement Development Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
1,095 0 0
3,450 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
DUA and non-public analyses agreement Development
Legal Review
Processing and Maintenance
Reporting CMS-10589, CMS-10589

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 1,095 0 1,095 0 0 0
Annual Time Burden (Hours) 3,450 0 3,450 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No