Reporting - State Mandates

Essential Health Benefits Benchmark Plans (CMS-10448)

OMB: 0938-1174

IC ID: 241291

Information Collection (IC) Details

View Information Collection (IC)

Reporting - State Mandates
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 156.111

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10448 State Annual Report AppG-Annual-Report-SRBs-508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10448 State Certification Annual Report (SBRs) AppH-StateCert-AnnlRpt-SRB-508.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

41 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 41 41 0 0 0 0
Annual IC Time Burden (Hours) 1,763 1,763 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy