Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Health Benefits Exchanges, Medicaid and CHIP Agencies (CMS-10440)

ICR 202304-0938-028

OMB: 0938-1191

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10440 Supporting Statement.60 Day_DACAf.docx Supporting Statement A	2023-04-28

IC Document Collections

IC ID	Document Title	Status
205692	Individual Application Instruction	Modified