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Health Insurance Marketplace - Application for exemption for Individuals who are Unable to Afford Coverage and are in a State wi
ICR 202403-0938-005 · OMB 0938-1190 · Object 140752501.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Health Insurance Marketplace - Application for exemption for Individuals who are Unable to Afford Coverage and are in a State wi |
| Subject | Health Insurance Marketplace, Application for Exemption, Shared Responsibility Payment for Individuals, Experienced Hardships |
| Author | Health Insurance Marketplace |
| File Modified | 2023-12-20 |
| File Created | 2023-12-11 |
| Conversion State | failed_conversion |