Simplified Actuarial Value Methodology Plan and Policy Report

Cost-Sharing Reduction Reconciliation (CMS-10526)

OMB: 0938-1266

IC ID: 213296

Information Collection (IC) Details

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Simplified Actuarial Value Methodology Plan and Policy Report
 
No Modified
 
Mandatory
 
45 CFR 156.430(c)(4)(v)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10526 CSR Reconciliation Data Elements CMS-10526 CSR Recon PRA_Collection Elementsx.docx Yes Yes Fillable Fileable

Health Health Care Services

 

191 0
   
Private Sector Not-for-profit institutions, 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 2,339,941 0 0 0 0 2,339,941
Annual IC Time Burden (Hours) 306 0 0 72 0 234
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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