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Health Insurance Issuer Submission of the Preliminary Justification
Rate Increase Disclosure and Review Reporting Requirements (CMS-10379)
OMB: 0938-1141
IC ID: 198019
OMB.report
HHS/CMS
OMB 0938-1141
ICR 202408-0938-033
IC 198019
( )
Documents and Forms
Document Name
Document Type
CMS-10379 - Unified_Rate_Review_Template v6.0 - 08-08-24.xlsm
Other-Microsoft Word
2024 PY URR instructions clean - 8-8-24.docx
Instruction
Information Collection (IC) Details
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