Issuers - Submission Preparation (Small Group)

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

OMB: 0938-1086

IC ID: 199278

Information Collection (IC) Details

View Information Collection (IC)

Issuers - Submission Preparation (Small Group)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10320 Issuer Instructions and Instruments CMS-10320 Issuer - FINAL Instructions and Instruments.pdf Yes Yes Fillable Fileable
Instruction CMS 10320 Appendix C Issuer and Product Level Data_PRA 2020.pdf Yes Yes Paper Only
Instruction CMS 10320 Appendix D_Data Collection_PRA2020.pdf Yes Yes Paper Only

Health Health Care Services

 

500 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 500 0 0 -200 0 700
Annual IC Time Burden (Hours) 26,000 0 0 -4,800 0 30,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Data Collection Template CMS 10320 Appendix G_2020 .xlsm 01/28/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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