Waiver Application

Medical Loss Ratio (IFR) Information Collection Requirements and Supporting Regulations

OMB: 0938-1114

IC ID: 195248

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

View Information Collection (IC)

Waiver Application
 
No Modified
 
Voluntary
 
45 CFR 158.321(c) 45 CFR 158.321(d)(1)-(13) 45 CFR 158.322 45 CFR 158.321(a) 45 CFR 158.321(b) 45 CFR 158.323

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

Health Health Care Services

 

20 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 3,700 0 0 0 0 3,700
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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