Subpart D-Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability

Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-10468)

OMB: 0938-1207

IC ID: 207762

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Other-Data Elements
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Subpart D-Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.345 45 CFR 155.302

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Elements CMS-10468 - Appendix A - Data Elements.pdf Yes Yes Printable Only

Health Health Care Services

 

1,082 0
   
State, Local, and Tribal Governments
 
   100 %

  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 1,082 0 0 1,069 0 13
Annual IC Time Burden (Hours) 24,354 0 0 24,267 0 87
Annual IC Cost Burden (Dollars) 2,827,266 0 0 2,826,447 0 819

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