Information Collection Request
State Health Insurance Assistance Program Annual Sub-Recipients Report
ICR 202310-0985-005 · OMB 0985-0070 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 State Health Insurance Assistance Program Annual Sub-Recipients Report |
Form and Instruction | Modified | Repair queued |
 0070 Supporting Statement SHIP Partner Dec 2023_OHIC edits.docx |
Supporting Statement A | Uploaded 2023-12-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 244264 |  State Health Insurance Assistance Program Annual Sub-Recipients Report |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACL |
| OMB Control No | 0985-0070 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202010-0985-006 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |