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

IC 219432 under ICR 201605-0938-002 · OMB 0938-1185.

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

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10415 Stakeholder Training Forms Instruments.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100,000 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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 417 0 0 0 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Submission Template - Supporting Statement Generic Submission Template - Supporting Statement.docx 12/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.