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[]
["Draft Estimated Breakout of PRA Estimates for Disclosure Notices to Individuals "]
["By Type of Sponsor"]
[]
["DESCRIPTION",null,"GRAND TOTAL",null,null,null,"Federal Government"]
["Type of Plan/ Respondent","Type of Notice"," Number of Plans/ Respondents "," Annual # Notices/ Responses ","Est. Minutes per Response"," Annual Burden Hours "," Number of Plans/ Respondents "," Annual # Notices/ Responses ","Est. Minutes per Response"," Annual Burden Hours "]
["Health Plans (Active Workers)","Annual and Initial Notices",400000,400000,5,33333.333333333336,4,4,5,0.3333333333333333]
[" "," "," ",0,0,0," ",0,5,0]
[" ","Change in Creditable Coverage Status"," ",4000,5,333.3333333333333," ",0,0,0]
["Retiree Drug Plan Sponsors","Annual and Initial Notices",46000,46000,5,3833.3333333333335,3,3,5,0.25]
[" ","Upon Request"," ",0,0,0," ",0,5,0]
[" ","Change in Creditable Coverage Status","   ",500,5,41.666666666666664,null,0,0,0]
["Medigap Issuers","Annual and Initial Notices",120,120,5,10]
[null,"Upon Request",null,0,0,0]
[" ","Change in Creditable Coverage Status",null,0,0,0]
["Indian Health Service (1 I.H.S. Plan included under Federal Health Plan Totals)","Annual and Initial Notices",0,0,0,0,0,0,0,0]
[null,"Upon Request",null,0,0,0,null,0,0,0]
[null,"Change in Creditable Coverage Status",null,0,0,0,null,0,0,0]
["State Pharmacy Plus Programs","Annual and Initial Notices",2,2,5,0.16666666666666666]
[null,"Upon Request"," ",0,0,0]
[" ","Change in Creditable Coverage Status"," ",0,0,0]
["State Pharmaceutical Assistance Programs","Annual and Initial Notices",38,38,5,3.1666666666666665]
[null,"Upon Request","   ",0,0,0]
[null,"Change in Creditable Coverage Status","   ",0,0,0]
["Totals",null,446160,450660,35,37555,7,7,20,0.5833333333333333]
[]
[]
[]
["DESCRIPTION",null,"State, Local or Tribal Governments",null,null,null,"Private Sector Businesses (for-profit & not for profit)"]
["Type of Plan/ Respondent","Type of Notice"," Number of Plans/ Respondents "," Annual # Notices/ Responses ","Est. Minutes per Response"," Annual Burden Hours "," Number of Plans/ Respondents "," Annual # Notices/ Responses ","Est. Minutes per Response"," Annual Burden Hours "]
["Health Plans (Active Workers)","Annual and Initial Notices",2999,2999,5,249.91666666666666,396997,396997,5,33083.083333333336]
[" ","Upon Request"," ",0,5,0," ",0,5,0]
[" ","Change in Creditable Coverage Status"," ",null,5,0," ",4000,5,333.3333333333333]
["Retiree Drug Plan Sponsors","Annual and Initial Notices",2501,2501,5,208.41666666666666,43496,43496,5,3624.6666666666665]
[" ","Upon Request"," ",0,5,0," ",0,5,0]
[" ","Change in Creditable Coverage Status","   ",0,5,0,"   ",500,5,41.666666666666664]
["Medigap Issuers","Annual and Initial Notices",{"$nulls":4},120,120,5,10]
[null,"Upon Request",{"$nulls":5},0,5,0]
[" ","Change in Creditable Coverage Status",{"$nulls":5},0,0,0]
["Indian Health Service","Annual and Initial Notices"]
[null,"Upon Request"]
[null,"Change in Creditable Coverage Status"]
["State Pharmacy Plus Programs","Annual and Initial Notices",2,2,5,0.16666666666666666]
[null,"Upon Request"," ",0,0,0]
[" ","Change in Creditable Coverage Status"," ",0,0,0]
["State Pharmaceutical Assistance Programs","Annual and Initial Notices",38,38,5,3.1666666666666665]
[null,"Upon Request","   ",0,0,0]
[null,"Change in Creditable Coverage Status","   ",0,0,0]
["Totals",null,5540,5540,40,461.6666666666667,440613,445113,40,37092.75]