Reconsiderations & Appeals

Consumer Operated and Oriented Plan [CO-OP] Program

OMB: 0938-1139

IC ID: 198651

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Reconsiderations & Appeals
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 156

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

Health Health Care Services

 

4 4
   
Private Sector Not-for-profit institutions
 
   98 %

  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 4 0 0 0 0 4
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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