Information Collection Request

State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)

ICR 202408-0938-040 · OMB 0938-1349 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10650_State Permissions_Supporting Statement_08.30.24.docx Supporting Statement A Uploaded 2024-08-30 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2024
93,660 55,148
473,440 272,707
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 93,660 55,148 0 38,512 0 0
Annual Time Burden (Hours) 473,440 272,707 0 200,733 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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