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(149.610) - Requesting Reopenings
Early Retiree Reinsurance Program
OMB: 0938-1087
IC ID: 201228
OMB.report
HHS/CMS
OMB 0938-1087
ICR 201202-0938-004
IC 201228
( )
Documents and Forms
Document Name
Document Type
ERRP data inaccuracies and reopenings guidance (revised).pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
(149.610) - Requesting Reopenings
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 149.610
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
ERRP data inaccuracies and reopenings guidance (revised).pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Early Retiree Reinsurance Program
FR Citation:
75 FR 31440
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
20
0
0
Annual IC Time Burden (Hours)
160
0
0
160
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
