End of Enrollment Budget Report

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

OMB: 0938-1119

IC ID: 216248

Documents and Forms
Document Name
Document Type
Other-Data Elements
Other-Data Elements
Information Collection (IC) Details

View Information Collection (IC)

End of Enrollment Budget Report
 
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
Other-Data Elements CMS-10371 - Performance_Review-Data_Elements.pdf Yes Yes Paper Only

Health Health Care Services

 

18 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 18 0 0 -198 216 0
Annual IC Time Burden (Hours) 185 0 0 -1,975 2,160 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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