PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Minimum Essential Coverage Certification
Modified
10
53
2200
Form and Instruction
CMS-10465
Minimum Essential Coverage Certification
Form
CMS-10465
Minimum Essential Coverage Certification (optional Excel file)
Total burden requested under this ICR:
10
53
2200
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