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Information Collection

Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs

IC 247049 under ICR 202104-0938-015 · OMB 0938-1331.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10598 Stakeholder CBT Survey CMS-10598 - Stakeholder CBT Survey.docx Yes Yes Fillable Printable
Form and Instruction CMS-10598 Stakeholder Online Evaluation Survey CMS-10598 - Stakeholder Online Evaluation Surveys.docx Yes Yes Fillable Fileable
Form and Instruction CMS-10598 Stakeholder Onsite Evaluation Survey CMS-10598 - Stakeholder Onsite Evaluation Surveys.docx Yes Yes Fillable Printable

Health Health Care Services

 

45,322 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 45,322 0 45,322 0 0 0
Annual IC Time Burden (Hours) 11,331 0 11,331 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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