State Unreasonable Rate Increase Determinations

Rate Increase Disclosure and Review Reporting Requirements (CMS-10379)

OMB: 0938-1141

IC ID: 198022

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State Unreasonable Rate Increase Determinations
 
No Modified
 
Mandatory
 
45 CFR 154.120

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

Health Health Care Services

 

402 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 402 0 0 -891 0 1,293
Annual IC Time Burden (Hours) 133 0 0 -294 0 427
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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