Document
Exemption Federally Facilitated Marketplace
ICR 201702-0938-001 · OMB 0938-1190 · Object 71463001.
This document may belong to an older filing. More recent activity for OMB 0938-1190:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Exemption Federally Facilitated Marketplace |
| Subject | Application for Exemption from the Shared Responsibility Payment for Individuals who are Unable to Afford Coverage, and are in a |
| Author | CMS |
| File Modified | 2016-12-21 |
| File Created | 2016-10-27 |
| Conversion State | complete |