Fraud and Abuse Procedures (Private) - Out Years

Early Retiree Reinsurance Program

OMB: 0938-1087

IC ID: 192762

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Fraud and Abuse Procedures (Private) - Out Years
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 149.35(b)(3)

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

Health Health Care Services

 

1,032 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 1,032 0 0 207 0 825
Annual IC Time Burden (Hours) 20,640 0 0 4,140 0 16,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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