Application Development

Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466)

OMB: 0938-1190

IC ID: 205754

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Application Development
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.610

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

Health Health Care Services

 

12 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 12 0 0 -6 18 0
Annual IC Time Burden (Hours) 12,708 0 0 -6,354 19,062 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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