Information Collection

Burden to Agents and Brokers to Request Reconsideration of Termination of FFE Agreements and Other Penalties

IC 246289 under ICR 202408-0938-040 · OMB 0938-1349.

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Burden to Agents and Brokers to Request Reconsideration of Termination of FFE Agreements and Other Penalties
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.220(h) 45 CFR 155.220(k)(2)

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

Health Health Care Services

 

1,095 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 1,095 0 1,053 0 0 42
Annual IC Time Burden (Hours) 10,950 0 10,530 0 0 420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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