Collection of User Fee Adjustment Information from FFE (or SBE-FP) Participating Issuers

Data Submission Requirements to Receive the Federally-facilitated Exchange User Fee Adjustment (CMS-10492)

CMS-10492 - Issuer data elements for FFE Adjustment rev

Collection of User Fee Adjustment Information from FFE (or SBE-FP) Participating Issuers

OMB: 0938-1285