Information Collection Request

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

ICR 202108-0938-007 · OMB 0938-1086 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10320 Issuer - Attest (Small Group) Form and Instruction Modified Available
Form CMS-10320 Issuer - Attest (Individual) Form and Instruction Modified Repair queued
Form CMS-10320 Issuer - Troubleshoot (Small Group) Form and Instruction Modified Repair queued
Form CMS-10320 Issuer - Troubleshoot (Individual) Form and Instruction Modified Missing upstream
Form CMS-10320 Issuer - Data Entry (Small Group) Form and Instruction Modified Repair queued
Form CMS-10320 Issuer - Data Entry (Individual) Form and Instruction Modified Available
Form CMS-10320 Issuers - Submission Preparation (Small Group) Form and Instruction Modified Missing upstream
Form CMS-10320 Issuers - Submission Preparation (Individual) Form and Instruction Modified Available
Form CMS-10320 Issuers Training and Communication Form and Instruction Modified Repair queued
Form CMS-10320 States - Data Collection Form and Instruction Modified Missing upstream
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified Missing upstream
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 Modified
199283 Issuer - Attest (Individual) Form and Instruction Modified
199282 Issuer - Troubleshoot (Small Group) Form and Instruction Modified
199281 Issuer - Troubleshoot (Individual) Form and Instruction Modified
199280 Issuer - Data Entry (Small Group) Form and Instruction Modified
199279 Issuer - Data Entry (Individual) Form and Instruction Modified
199278 Issuers - Submission Preparation (Small Group) Form and Instruction Modified
199277 Issuers - Submission Preparation (Individual) Form and Instruction Modified
199276 Issuers Training and Communication Form and Instruction Modified
199275 States - Data Collection Form and Instruction Modified
192726 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified
192725 States - Data submission Form and Instruction Modified

ICR Details

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





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 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