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Federal forms, ICRs, and supporting documents

Information Collection

Product Renewal and Discontinuance Notice for QHP Issuers

IC 212937 under ICR 202506-0938-018 · OMB 0938-1254.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Product Renewal and Discontinuance Notice for QHP Issuers
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 156.1255

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10527 Renewal and Discontinuance Notice CMS-10527 - Attachment 2 - Renewal Notice QHP.docx Yes Yes Printable Only

Health Health Care Services

 

344 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 344 0 0 11 0 333
Annual IC Time Burden (Hours) 8,216 0 0 224 0 7,992
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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