Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371)

OMB 0938-1119

OMB 0938-1119

Information collected as a part of the application for this grant will be used to evaluate the applications and determine awardees. Information collected pursuant to the reporting requirements for awardees will be used to evaluate the progress of States in planning for and implementing Exchanges, and determine how the Secretary can provide assistance to achieve the goals of the grant program and the Affordable Care Act.

The latest form for Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371) expires 2020-10-31 and can be found here.

OMB Details

Public - Progress Reports

Federal Enterprise Architecture: Health - Health Care Services

Form CMs-10371Progress ReportFillable FileableForm and instruction
Form CMS-10371Progress ReportFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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