Verification of New and Changed Applications

Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions (CMS-10466)

OMB: 0938-1190

IC ID: 205756

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Verification of New and Changed Applications 10466
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.620 45 CFR 155.615

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

283 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 849 0 0 838 0 11
Annual IC Time Burden (Hours) 1,121 0 0 1,106 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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