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Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs (CMS-10581)

IC 208331 under ICR 201508-0938-014 · OMB 0938-1185.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs (CMS-10581)
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10581 Online Training Evaluation Survey CMS015_OnlineEvaluationSurveys_final_081715.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10581 Onsite Training Evaluation Survey CMS015_OnsiteEvaluationSurveys_final_081715.docx Yes Yes Fillable Fileable

Health Health Care Services

 

32,362 0
   
Individuals or Households
 
   0 %

  Requested 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 32,362 0 -67,638 0 0 100,000
Annual IC Time Burden (Hours) 2,618 0 2,201 0 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Stakeholder Training Evaluation Justification TrainingEvaluation_PRA_PackageJustification_final_081715.docx 08/28/2015
Cover Sheet and table of Contents PRACoverSheetTableofContents_final_081715.docx 08/28/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.