Differential Display of Standardized Options on the Web Sites of Agents and Brokers and QHP Issuers

Information Collection Requirements for Non-Exchange Entities (CMS-10666)

OMB: 0938-1329

IC ID: 226005

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Differential Display of Standardized Options on the Web Sites of Agents and Brokers and QHP Issuers CMS-10666
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 156.265 45 CFR 155.220

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix A - Agents and Brokers_.docx Yes Yes Fillable Fileable

Health Health Care Services

 

110 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   80 %

  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 110 0 0 110 0 0
Annual IC Time Burden (Hours) 220 0 0 220 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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