Redeterminations

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

OMB: 0938-1190

IC ID: 208101

Documents and Forms
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Information Collection (IC) Details

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Redeterminations
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.620

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

Health Health Care Services

 

11 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 11 0 0 -1 0 12
Annual IC Time Burden (Hours) 15 0 0 -1 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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