Maintenance of Records (Public)

Early Retiree Reinsurance Program

OMB: 0938-1087

IC ID: 192764

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Maintenance of Records (Public)
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 149.350

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

Health Health Care Services

 

3,375 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 3,375 0 0 675 0 2,700
Annual IC Time Burden (Hours) 20,250 0 0 4,050 0 16,200
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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