Exemption Applications - Eligibility for Exemptions

Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions

OMB: 0938-1190

IC ID: 205753

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Exemption Applications - Eligibility for Exemptions
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.610 45 CFR 155.615 45 CFR 155.620 45 CFR 155.625

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

Health Health Care Services

 

12,000,000 0
   
Individuals or Households
 
   90 %

  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 12,000,000 12,000,000 0 0 0 0
Annual IC Time Burden (Hours) 3,240,000 3,240,000 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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