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Exemption State Based Marketplace

ICR 201702-0938-001 · OMB 0938-1190 · Object 71463301.

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Document Metadata
File Typeapplication/octet-stream
File TitleExemption State Based Marketplace
SubjectApplication for Exemption from the Shared Responsibility Payment for Individuals who are Unable to Afford Coverage and are in Ce
AuthorCMS
File Modified2016-12-21
File Created2016-10-27
Conversion Statecomplete