Information Collection Request

Health Care Reform Insurance Web Portal Requirements 45 CFR part 159 (CMS-10320)

ICR 202108-0938-007 · OMB 0938-1086 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10320 CMS-10320 - Issuer - FINAL Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuer - Attest (Small Group) Form and Instruction Modified Available
Form CMS-10320 CMS-1032 - .Issuer - FINAL Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuer - Attest (Individual) Form and Instruction Modified Repair queued
Form CMS-10320 CMS-10320 Issuer - FINAL Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuer - Troubleshoot (Small Group) Form and Instruction Modified Repair queued
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuer - Troubleshoot (Individual) Form and Instruction Modified Repair queued
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments Form and Instruction Modified Repair queued
Form CMS-10320 Issuer - Data Entry (Small Group) Form and Instruction Modified Repair queued
Form CMS-10320 Issuer Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuer - Data Entry (Individual) Form and Instruction Modified Available
Form CMS-10320 Issuer Instructions and Instruments Form and Instruction Modified Repair queued
Form CMS-10320 Issuers - Submission Preparation (Small Group) Form and Instruction Modified Repair queued
Form CMS-10320 Issuer - Technical Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuers - Submission Preparation (Individual) Form and Instruction Modified Available
Form CMS-10320 CMS-10320 - Issuer Technical Instructions and Instruments Form and Instruction Modified Available
Form CMS-10320 Issuers Training and Communication Form and Instruction Modified Repair queued
Form CMS-10320 State instructions and instruments Form and Instruction Modified Available
Form CMS-10320 States - Data Collection Form and Instruction Modified Repair queued
Form CMS-10320 State Instructions and Instrument Form and Instruction Modified Available
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified Repair queued
Form CMS-10320 Health Care Reform Insurance Web Portal Requirements - State Instructions and Instrument Form and Instruction Modified Available
Form CMS-10320 States - Data submission Form and Instruction Modified Repair queued
CMS 10320 Supporting Statement A_2020.docx Supporting Statement A Uploaded 2021-12-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
199284 Issuer - Attest (Small Group) Form and Instruction ModifiedCMS-10320 - Issuer - FINAL Instructions and Instruments
199284 Issuer - Attest (Small Group) Form and Instruction Modified
199284 Issuer - Attest (Small Group) Instruction Modified
199283 Issuer - Attest (Individual) Form and Instruction ModifiedCMS-1032 - .Issuer - FINAL Instructions and Instruments
199283 Issuer - Attest (Individual) Form and Instruction Modified
199283 Issuer - Attest (Individual) Instruction Modified
199282 Issuer - Troubleshoot (Small Group) Form and Instruction ModifiedCMS-10320 Issuer - FINAL Instructions and Instruments
199282 Issuer - Troubleshoot (Small Group) Form and Instruction Modified
199282 Issuer - Troubleshoot (Small Group) Instruction Modified
199281 Issuer - Troubleshoot (Individual) Form and Instruction ModifiedCMS-10320.Issuer - FINAL Instructions and Instruments
199281 Issuer - Troubleshoot (Individual) Form and Instruction Modified
199281 Issuer - Troubleshoot (Individual) Instruction Modified
199280 Issuer - Data Entry (Small Group) Form and Instruction ModifiedCMS-10320.Issuer - FINAL Instructions and Instruments
199280 Issuer - Data Entry (Small Group) Form and Instruction Modified
199280 Issuer - Data Entry (Small Group) Instruction Modified
199279 Issuer - Data Entry (Individual) Form and Instruction ModifiedIssuer Instructions and Instruments
199279 Issuer - Data Entry (Individual) Form and Instruction Modified
199279 Issuer - Data Entry (Individual) Instruction Modified
199278 Issuers - Submission Preparation (Small Group) Form and Instruction ModifiedIssuer Instructions and Instruments
199278 Issuers - Submission Preparation (Small Group) Form and Instruction Modified
199278 Issuers - Submission Preparation (Small Group) Instruction Modified
199277 Issuers - Submission Preparation (Individual) Form and Instruction ModifiedIssuer - Technical Instructions and Instruments
199277 Issuers - Submission Preparation (Individual) Form and Instruction Modified
199277 Issuers - Submission Preparation (Individual) Instruction Modified
199276 Issuers Training and Communication Form and Instruction ModifiedCMS-10320 - Issuer Technical Instructions and Instruments
199276 Issuers Training and Communication Form and Instruction Modified
199276 Issuers Training and Communication Instruction Modified
199275 States - Data Collection Form and Instruction ModifiedState instructions and instruments
199275 States - Data Collection Form and Instruction Modified
199275 States - Data Collection Instruction Modified
192726 States - Training, reviewing regulation, and analyzing data Form and Instruction ModifiedState Instructions and Instrument
192726 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified
192726 States - Training, reviewing regulation, and analyzing data Instruction Modified
192725 States - Data submission Form and Instruction ModifiedHealth Care Reform Insurance Web Portal Requirements - State Instructions and Instrument
192725 States - Data submission Form and Instruction Modified
192725 States - Data submission Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2025 36 Months From Approved 12/31/2020
4,650 0 5,500
82,800 0 89,725
0 0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Issuer - Attest (Individual) CMS-10320
Issuer - Attest (Small Group) CMS-10320
Issuer - Data Entry (Individual) CMS-10320
Issuer - Data Entry (Small Group) CMS-10320
Issuer - Troubleshoot (Individual) CMS-10320
Issuer - Troubleshoot (Small Group) CMS-10320
Issuers - Submission Preparation (Individual) CMS-10320
Issuers - Submission Preparation (Small Group) CMS-10320
Issuers Training and Communication CMS-10320
States - Data submission CMS-10320
States - Data Collection CMS-10320
States - Training, reviewing regulation, and analyzing data CMS-10320

table that charts list of burden
  Total Approved 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 4,650 5,500 0 0 -850 0
Annual Time Burden (Hours) 82,800 89,725 0 0 -6,925 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No