States - Data submission

Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)

OMB: 0938-1086

IC ID: 192725

Information Collection (IC) Details

View Information Collection (IC)

States - Data submission
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10320 Health Care Reform Insurance Web Portal Requirements - State Instructions and Instrument CMS-10320.FINAL State Instructions and Instrument.pdf Yes No Fillable Fileable Signable
Form and Instruction CMS-10320 Appendix E - State Requirements CMS-10320 Appendix_E_State Requirements.pdf Yes No Fillable Fileable Signable

Health Health Care Services

 

50 0
   
State, Local, and Tribal Governments
 
   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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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