Information Collection Request

Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463)

ICR 202202-0938-001 · OMB 0938-1215 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10463 - 30-day Supporting Statement_Final.docx Supporting Statement A Uploaded 2022-02-02 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240706 Consent Form and Authorization Modified
217382 Information Submissions (Assister Organization Information) Modified
212550 Weekly Reporting Modified
212437 Monthly Progress Report Submissions Modified
208329 Quarterly Progress Reports Modified
208328 Navigator Annual Progress Report Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2025 36 Months From Approved 10/31/2023
1,507,200 0 353,600
529,000 0 119,100
4,247,193 0 2,123,597





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,507,200 353,600 0 1,153,600 0 0
Annual Time Burden (Hours) 529,000 119,100 0 409,900 0 0
Annual Cost Burden (Dollars) 4,247,193 2,123,597 0 2,123,596 0 0


Reginfo record details
  No