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States - Training, reviewing regulation, and analyzing data
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)
OMB: 0938-1086
IC ID: 192726
OMB.report
HHS/CMS
OMB 0938-1086
ICR 201707-0938-015
IC 192726
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1086 can be found here:
2022-01-28 - Reinstatement with change of a previously approved collection
2021-02-18 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form CMS-10320
States - Training, reviewing regulation, and analyzing data
Form and Instruction
CMS-10320 State Instructions and Instrument
CMS-10320.FINAL State Instructions and Instrument.pdf
Form and Instruction
CMS-10320 Appendix E - State Requirements
CMS-10320 Appendix_E_State Requirements.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
States - Training, reviewing regulation, and analyzing data
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CMS-10320
State Instructions and Instrument
CMS-10320.FINAL State Instructions and Instrument.pdf
Yes
Yes
Fillable Fileable Signable
Form and Instruction
CMS-10320
Appendix E - State Requirements
CMS-10320 Appendix_E_State Requirements.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.