R-205 Respondents Burden Hours Version2

	CMS R-205 2009 PRA Package: Individual Market Information Collections
Item		No of respondents	No of policies and supporting materials;or certificates of creditable coverage;or individuals; or SAM filings	Total Annual responses	Annual hours per response	Annual burden hours	Cost per hour	Total Cost (non-capital costs)
1	Guaranteed renewability	0 States	0	0	0	0	18.27	$0
2	Certificates of Creditable Coverage	1,000 issuers	2,929.759	2,929,759	17.11 minutes	835,517	18.27	$15,264,896
3	Recordkeeping non HIPAA eligibles	1,000 issuers	50	50,000	0.33	16,667	18.27	$304,500
4	States filing SAMs	42 States	1	42	100	4,200	18.27	$76,734
		Total: 2,042		2,979,801		856,384		$15,646,130