Early Retiree Reinsurance Program - Private Application

Early Retiree Reinsurance Program

OMB: 0938-1087

IC ID: 192755

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Early Retiree Reinsurance Program - Private Application
 
No Modified
 
Mandatory
 
45 CFR 149.40

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

Health Health Care Services

Early Retirement Reinsurance Program  75 FR 31440

4,125 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 4,125 0 0 825 0 3,300
Annual IC Time Burden (Hours) 90,750 0 0 18,150 0 72,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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