Written Agreements (Public) - Year 1

Early Retiree Reinsurance Program

OMB: 0938-1087

IC ID: 192756

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Written Agreements (Public) - Year 1
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 149.35

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

Health Health Care Services

 

1,500 0
   
State, Local, and Tribal Governments
 
   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 4,500 0 0 0 0 4,500
Annual IC Time Burden (Hours) 4,500 0 0 0 0 4,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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