(Cycle III) Annual Report

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

OMB: 0938-1121

IC ID: 208093

Documents and Forms
Information Collection (IC) Details

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(Cycle III) Annual Report
 
No New
 
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 III - Annual Reporting Template Grant_Cycle_III_Annual_Report_Template-a.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

56 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 56 0 0 56 0 0
Annual IC Time Burden (Hours) 2,240 0 0 2,240 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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