Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act Unchanged 39831442 3760421 0 Form and Instruction CMS-10430 Model_Election_Exemption
Form and Instruction CMS-10430 Model_Notice_to_Enrollees
Total burden requested under this ICR: 39831442 3760421 0  
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