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Qualified Health Plan Minimum Certification Standards
Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592)
OMB: 0938-1341
IC ID: 226172
OMB.report
HHS/CMS
OMB 0938-1341
ICR 202007-0938-013
IC 226172
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1341 can be found here:
2024-01-26 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Qualified Health Plan Minimum Certification Standards
Agency IC Tracking Number:
CMS-10592
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 156.200
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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:
250
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
250
0
0
-950
0
1,200
Annual IC Time Burden (Hours)
10,000
0
0
-94,800
0
104,800
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.