Funding Opportunity Announcement Application

Cooperative Agreement to Support Establishment of the Affordable Care Act's Health Insurance Exchanges

Documents and Forms

Document Name Document Type
Form CMS-10424 Funding Opportunity Announcement Application Form and Instruction
CMS-10424 FOA CMS-10424.FOA Deliberative Document.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Funding Opportunity Announcement Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10424	FOA	CMS-10424.FOA Deliberative Document.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	28,764	28,764
Annual IC Cost Burden (Dollars)	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.