Exchanges

Establishment of Qualified Health Plans and American Health Benefit Exchanges

OMB: 0938-1156

IC ID: 198558

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Information Collection (IC) Details

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Exchanges
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.105, 106, 110, 150, 160 45 CFR 155.200, 205, 210, 220, 260 45 CFR 155.725, 730, 1020, 1040 45 CFR 155.335, 340, 345, 400, 405 45 CFR 155.302, 310, 315, 320, 330 45 CFR 155.410, 430, 705, 715, 720 45 CFR 155.1055, 1065, 1075, 1080

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

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  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 1,479 1,479 0 0 0 0
Annual IC Time Burden (Hours) 243,984 243,984 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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