Early Retiree Reinsurance Program - Public Application

Early Retiree Reinsurance Program

OMB: 0938-1087

IC ID: 192754

Information Collection (IC) Details

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Early Retiree Reinsurance Program - Public Application
 
No Removed
 
Mandatory
 
45 CFR 149.40

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10321 Deliberative Document 0938-1087.Deliberative Document.docx Yes No Fillable Fileable
Instruction 0938-1087.Deliberative Document.docx Yes No Fillable Fileable

Health Health Care Services

Early Retirement Reinsurance Program  75 FR 31440

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 0 0 -3,375 0 0 3,375
Annual IC Time Burden (Hours) 0 0 -74,250 0 0 74,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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