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Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction

IC 8574 under ICR 200005-0938-006 · OMB 0938-0797.

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Individual Market-Guarantee Issue Election Packet, Supporting Regulations 45 CFR 148, and forms/instruction
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-205 No No


    

15 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 566 0 566 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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