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Progress Report - Hmo Feasibility Activities

IC 112206 under ICR 197708-0937-001 · OMB 0937-0012.

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PROGRESS REPORT - HMO FEASIBILITY ACTIVITIES
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HSA 255 No No


    

40 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 160 0 0 160 0 0
Annual IC Time Burden (Hours) 80 0 0 80 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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