SBM Individual Market Reports (weekly and monthly)

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

OMB: 0938-1119

IC ID: 228019

Information Collection (IC) Details

View Information Collection (IC)

SBM Individual Market Reports (weekly and monthly)
 
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 SBM Individual Market Reporting Updated_Weekly and Monthly template 2.0 metrics_.docx Yes Yes Fillable Fileable

Health Health Care Services

 

12 0
   
Private Sector Businesses or other for-profits
 
   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 216 0 0 216 0 0
Annual IC Time Burden (Hours) 6,350 0 0 6,350 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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