Information Collection Request

Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs (CMS-10598)

ICR 202104-0938-015 · OMB 0938-1331 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10598 Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs Form and Instruction New Repair queued
CMS-10598 - Supporting Statement PartB.docx Supporting Statement B Uploaded 2021-04-28 Repair queued
CMS-10598 - Supporting Statement 30-dayx.docx Supporting Statement A Uploaded 2021-04-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247049 Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
125,322 0
31,331 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs CMS-10598, CMS-10598, CMS-10598 Stakeholder CBT Survey ,   Stakeholder Online Evaluation Survey ,   Stakeholder Onsite Evaluation Survey

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 125,322 0 0 0 12,410 112,912
Annual Time Burden (Hours) 31,331 0 0 0 3,103 28,228
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No