Monitoring and appeals process for survey vendors

Marketplace Quality Standards (CMS-10520)

OMB: 0938-1249

IC ID: 212011

Information Collection (IC) Details

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Monitoring and appeals process for survey vendors
 
No Modified
 
Voluntary
 
45 CFR 156.1120-1125 45 CFR 156.200(b)(5) 45 CFR 156.1105 45 CFR 155.200(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10520 Vendor Appeal Form CMS-10520 - QHP Survey - Request for Appeal Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

14 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 14 0 0 0 0 14
Annual IC Time Burden (Hours) 14 0 0 0 0 14
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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