Information Collection

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

IC 208331 under ICR 201506-0938-013 · OMB 0938-1185.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0938-1185 Stakeholder Training Forms 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

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.