Semi-Annual Reports

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

OMB: 0938-1119

IC ID: 198690

Information Collection (IC) Details

View Information Collection (IC)

Semi-Annual Reports
 
No Removed
 
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 Establishment Review - Semi-Annual CMS-10371 - Establishment Review data elements_051512_v4 (3).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

15 0
   
State, Local, and Tribal Governments
 
   100 %

  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 0 0 0 -15 15 0
Annual IC Time Burden (Hours) 0 0 0 -1,350 1,350 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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