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Navigator Annual Progress Report
Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463)
OMB: 0938-1215
IC ID: 208328
OMB.report
HHS/CMS
OMB 0938-1215
ICR 202003-0938-004
IC 208328
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1215 can be found here:
2022-02-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Navigator Annual Progress Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 155.210
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
50
0
0
-52
102
0
Annual IC Time Burden (Hours)
100
0
0
-15
115
0
Annual IC Cost Burden (Dollars)
42,400
0
0
-44,096
86,496
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.