Web-Brokers and QHP Issuers - Request to Deviate

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

OMB: 0938-1329

IC ID: 251080

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

Web-Brokers and QHP Issuers - Request to Deviate
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
45 CFR 155.220(c)(3)(i)(H) 45 CFR 56.265(b)(3)(iv)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

55 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 55 55 0 0 0 0
Annual IC Time Burden (Hours) 55 55 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy