Information Collection Request

Grants to States for Health Insurance Premium Review

ICR 201006-0938-002 · OMB 0938-1092 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10323 Grants to States for Health Insurance Premium Review Form and Instruction New Available
CMS-10323.Supporting Statement Part A.docx Supporting Statement A Uploaded 2010-06-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
193172 Grants to States for Health Insurance Premium Review Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2010 6 Months From Approved
51 0 0
26,520 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Grants to States for Health Insurance Premium Review CMS-10323 Grants to States for Health Insurance Premium Review

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 51 0 51 0 0 0
Annual Time Burden (Hours) 26,520 0 26,520 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No