(Cycle II) Quarterly Report

Grants to States for Health Insurance Premium Review - Cycles I and II

OMB: 0938-1121

IC ID: 196344

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(Cycle II) Quarterly Report
 
No New
 
Mandatory
 

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

Health Health Care Services

 

46 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 184 184 0 0 0 0
Annual IC Time Burden (Hours) 4,416 4,416 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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