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Tax Equity And Fiscal Responsibility Act (tefra) Hmo And Cmp Program Evaluation Beneficiary Survey

IC 113975 under ICR 198911-0938-007 · OMB 0938-0557.

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TAX EQUITY AND FISCAL RESPONSIBILITY ACT (TEFRA) HMO AND CMP PROGRAM EVALUATION BENEFICIARY SURVEY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-133 No No


    

12,428 0
   
Individuals or Households
 
   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 12,428 0 12,428 0 0 0
Annual IC Time Burden (Hours) 6,214 0 6,214 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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