Burden to Agents and Brokers to Request Reconsideration of Termination of FFE Agreements and Other Penalties

State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)

OMB: 0938-1349

IC ID: 246289

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Burden to Agents and Brokers to Request Reconsideration of Termination of FFE Agreements and Other Penalties
 
No New
 
Required to Obtain or Retain Benefits
 
45 CFR 155.220(h) 45 CFR 155.220(k)(2)

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

Health Health Care Services

 

42 0
   
Private Sector Not-for-profit institutions
 
   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 42 0 0 42 0 0
Annual IC Time Burden (Hours) 420 0 0 420 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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