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Regional PPO Risk-Sharing Reconciliation Cost Report

IC 181538 under ICR 200708-0938-005 · OMB 0938-1032.

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Regional PPO Risk-Sharing Reconciliation Cost Report
 
No New
 
Mandatory
 
42 CFR 422.458

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10233 Regional PPO Risk-Sharing Reconciliation Cost Report CMS-10233.RPPO Risk Sharing Reconciliation- 5-21-07.xls Yes Yes Fillable Fileable
Instruction CMS-10233.RPPO Risk-Sharing Reconciliation Instructions.DOC Yes No Fillable Fileable

Health Health Care Services

 

14 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 14 14 0 0 0 0
Annual IC Time Burden (Hours) 1,120 1,120 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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