Information Collection Request

Student Health Insurance Coverage

ICR 201111-0938-004 · OMB 0938-1157 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10377.Supporting Statement Student Health Plans- Part A (2).doc Supporting Statement A Uploaded 2011-02-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
200070 Model Notice New

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
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1
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IC Title Form No. Form Name
Model Notice



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  No