Proposed Annual Ongoing Costs Regarding Disclosure of Agent and Broker Compensation to Enrollees Prior to Enrollment

Agent and Broker Disclosure and Reporting Requirements (CMS-10787)

OMB: 0938-1403

IC ID: 249381

Information Collection (IC) Details

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Proposed Annual Ongoing Costs Regarding Disclosure of Agent and Broker Compensation to Enrollees Prior to Enrollment
 
No New
 
Mandatory
 
45 CFR 148.410(c)(2)(i)-(ii) 45 CFR 148.410(c)(3) 45 CFR 148.410(c)(4) 45 CFR 148.410(c)(5)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data CMS-10787 - Appendix 1 - Agent and Broker Disclosure and Reporting Requirements Data Elements.pdf Yes Yes Printable Only

Health Health Care Services

 

56,865 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 1,166,361 1,166,361 0 0 0 0
Annual IC Time Burden (Hours) 30,419 30,419 0 0 0 0
Annual IC Cost Burden (Dollars) 333,246 333,246 0 0 0 0

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