Product Discontinuance Notice for QHP Issuers

Annual Eligibility Redetermination, Product Discontinuation and Renewal Notices (CMS-10527)

OMB: 0938-1254

IC ID: 212939

Information Collection (IC) Details

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Product Discontinuance Notice for QHP Issuers
 
No Modified
 
Mandatory
 
45 CFR 147.106 45 CFR 156.1255

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10527 Discontinuation Notices CMS-10527 Appendix C - Updated-Federal-Standard-Notices.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

244 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 488 0 0 -662 0 1,150
Annual IC Time Burden (Hours) 3,538 0 0 -4,800 0 8,338
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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