OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

QHP Issuers for the Appointment Wait Time Secret Shopper Data Collection

IC 266278 under ICR 202602-0938-012 · OMB 0938-1415.

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

View Information Collection (IC)

QHP Issuers for the Appointment Wait Time Secret Shopper Data Collection
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 156.230(a)(2)(B)

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

Health Health Care Services

 

155 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 155 0 0 -16 0 171
Annual IC Time Burden (Hours) 6,510 0 0 -238,704 0 245,214
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appointment Wait Time Guidance CMS-10803 - AWT-SSS-Tech-Guide-QHP-FFE-508.pdf 12/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].