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Issuers Training and Communication
Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)
OMB: 0938-1086
IC ID: 199276
OMB.report
HHS/CMS
OMB 0938-1086
ICR 201707-0938-015
IC 199276
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Issuers Training and Communication
Form and Instruction
CMS-10320 CMS-10320 - Issuer - Instructions and Instruments
CMS-10320 Issuer - FINAL Instructions and Instruments.pdf
Form and Instruction
CMS-10320 Appendix C Insurance Issuer and Product Level Data
CMS-10320 Appendix C Insurance Issuer and Product Level Data 2017.pdf
Form and Instruction
CMS-10320 Appendix D
CMS-10320 Appendix D_Data Collection 2017.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Issuers Training and Communication
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
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
CMS-10320 - Issuer - Instructions and Instruments
CMS-10320 Issuer - FINAL Instructions and Instruments.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
CMS-10320
Appendix C Insurance Issuer and Product Level Data
CMS-10320 Appendix C Insurance Issuer and Product Level Data 2017.pdf
Yes
No
Paper Only
Form and Instruction
CMS-10320
Appendix D
CMS-10320 Appendix D_Data Collection 2017.pdf
Yes
No
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:
750
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
750
0
0
0
0
750
Annual IC Time Burden (Hours)
22,500
0
0
0
0
22,500
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.