Operational Metrics - Weekly Reports

Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371)

OMB: 0938-1119

IC ID: 208346

Information Collection (IC) Details

View Information Collection (IC)

Operational Metrics - Weekly Reports
 
No Modified
 
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
Form and Instruction CMS-10371 Cooperative Agreements to Support Establishment of State-Operated Health Insurance CMS-10371 Open Enr Weekly Indicator Template.PDF Yes Yes Fillable Fileable

Health Health Care Services

 

16 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 208 0 0 -208 0 416
Annual IC Time Burden (Hours) 6,240 0 0 -3,744 0 9,984
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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