Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1185 can be found here:

Documents and Forms

Document Name Document Type
Form 0938-1185 Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs Form and Instruction
0938-1185 Stakeholder Training Forms Instruments.docx Form and Instruction
Fast Track Supporting Statement.docx Fast Track Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	0938-1185	Stakeholder Training Forms	Instruments.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	100,000	0	0	0	0	0
Annual IC Time Burden (Hours)	417	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Supporting Statement	Fast Track Supporting Statement.docx	08/21/2013

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