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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 226005 under ICR 202601-0938-010 · OMB 0938-1329.

Documents and Forms
Document Name
Document Type
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 155.220 45 CFR 156.265

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

 

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   80 %

  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 100 0 0 -10 110 0
Annual IC Time Burden (Hours) 200 0 0 -20 220 0
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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