State-based Marketplace Annual Reporting Tool (SMART)

State-based Marketplace Annual Reporting Tool (SMART) (CMS-10507)

OMB: 0938-1244

IC ID: 210245

Documents and Forms
Information Collection (IC) Details

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State-based Marketplace Annual Reporting Tool (SMART)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10507 SMART Tool CMS-10507 - SMART_Module Final rev2.docx Yes Yes Fillable Fileable

Health Health Care Services

 

17 0
   
State, Local, and Tribal Governments
 
   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 17 0 0 0 0 17
Annual IC Time Burden (Hours) 3,415 0 0 2,242 0 1,173
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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