Reports of Insurer Dumping (42 CFR 152.28)

Pre-Existing Condition Insurance Plan and Supporting Regulations

OMB: 0938-1100

IC ID: 193923

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Reports of Insurer Dumping (42 CFR 152.28)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 152.28

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

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 612 0 0 0 0 612
Annual IC Time Burden (Hours) 4,896 0 0 0 0 4,896
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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