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Reports of Insurer Dumping (42 CFR 152.28)

IC 193923 under ICR 201308-0938-003 · OMB 0938-1100.

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Reports of Insurer Dumping (42 CFR 152.28)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 152.28

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
 
   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 612 0 0 0 0 612
Annual IC Time Burden (Hours) 4,896 0 0 0 0 4,896
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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