Develpomental Phase Planning Review

Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges

OMB: 0938-1119

IC ID: 208348

Information Collection (IC) Details

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Develpomental Phase Planning Review
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10371 Exchange Establishment Grant FOA 2012 Exchange Establishment FOA 02_21_12 clean for PRA posting DRAFT.docx Yes Yes Fillable Fileable

Health Health Care Services

 

20 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved 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 20 0 0 20 0 0
Annual IC Time Burden (Hours) 2,220 0 0 2,220 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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