Requirement To Disclose Hmo Financial Information To Members

REQUIREMENT TO DISCLOSE HMO FINANCIAL INFORMATION TO MEMBERS

OMB: 0915-0064

IC ID: 110215

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Information Collection (IC) Details

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REQUIREMENT TO DISCLOSE HMO FINANCIAL INFORMATION TO MEMBERS
 
No Migrated
 
Mandatory
 

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


    

210 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 210 0 0 82 0 128
Annual IC Time Burden (Hours) 105 0 0 41 0 64
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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