Customer Service Representatives Training

Transparency in Pricing Information (CMS-10715)

Documents and Forms

Document Name Document Type
Form CMS-10715 Customer Service Representatives Training Form and Instruction
CMS-10715 Transparency in Coverage 45 CFR 147212 - Transparency in Coverage.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Customer Service Representatives Training	Agency IC Tracking Number:	CCIIO - 10715

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 147.212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10715	Transparency in Coverage	45 CFR 147212 - Transparency in Coverage.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 836	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,360	1,830	6,530
Annual IC Time Burden (Hours)	16,720	3,660	13,060
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.