Quarterly Reports

American Health Benefit Exchange State Planning and Establishment Grants

OMB: 0938-1101

IC ID: 193864

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Information Collection (IC) Details

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Quarterly Reports
 
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Required to Obtain or Retain Benefits
 

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

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   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 224 224 0 0 0 0
Annual IC Time Burden (Hours) 9,408 9,408 0 0 0 0
Annual IC Cost Burden (Dollars) 303,576 303,576 0 0 0 0

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