DUA and non-public analyses agreement Development

QECP Annual Report Workbook Submission Requirement for Qualified Entities under ACA Section 10332 (CMS-10589)

OMB: 0938-1309

IC ID: 220185

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DUA and non-public analyses agreement Development
 
No Modified
 
Voluntary
 
42 CFR 401.718 42 CFR 401.716 42 CFR 401.713

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

Health Health Care Services

 

15 0
   
Private Sector 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 15 15 0 0 0 0
Annual IC Time Burden (Hours) 300 300 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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