Progress Report For Hmo Planning And Development Activities

PROGRESS REPORT FOR HMO PLANNING AND DEVELOPMENT ACTIVITIES

OMB: 0937-0013

IC ID: 112208

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PROGRESS REPORT FOR HMO PLANNING AND DEVELOPMENT ACTIVITIES
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HSA-254 No No


    

500 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 500 0 0 -100 0 600
Annual IC Time Burden (Hours) 2,000 0 0 -400 0 2,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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