(Cycle I) Transaction Data Collection

Cycle I, II, and III - "Grants to Support States in Health Insurance Rate Review and Pricing Transparency" Reporting

OMB: 0938-1121

IC ID: 196341

Information Collection (IC) Details

View Information Collection (IC)

(Cycle I) Transaction Data Collection
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10380 Cycle I FOA grant to states for health insurance premium review - cycle 1.doc Yes No Fillable Fileable

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 204 0 0 0 0 204
Annual IC Time Burden (Hours) 8,160 0 0 0 0 8,160
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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