SBM Three-year Budget Reports

Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371)

OMB: 0938-1119

IC ID: 228022

Information Collection (IC) Details

View Information Collection (IC)

SBM Three-year Budget Reports
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10371 SBM Three-Year Budget Template SBM Budget Template_with PRA disclaimer.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

21 0
   
State, Local, and Tribal Governments
 
   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 21 0 0 0 0 21
Annual IC Time Burden (Hours) 336 0 0 0 0 336
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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