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Burden to Agents, Brokers, and Web-brokers to Respond to Notices of Intent to Terminate, of Temporary Suspension, and of Termination of FFE Agreements

IC 246291 under ICR 202408-0938-040 · OMB 0938-1349.

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Burden to Agents, Brokers, and Web-brokers to Respond to Notices of Intent to Terminate, of Temporary Suspension, and of Termination of FFE Agreements
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.220(g)(3)(i) 45 CFR 155.220(g)(5)(i)(A)

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

Health Health Care Services

 

42 0
   
Private Sector Businesses or other for-profits, 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 42 0 0 0 0 42
Annual IC Time Burden (Hours) 420 0 0 0 0 420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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