View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Good Cause Processes (Sec. 417.460, 422.74, and 423.44)
 
No Modified
 
Voluntary
 
42 CFR 422.74 42 CFR 417.460 42 CFR 423.44

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

54,789 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 54,789 0 0 13,500 41,289 0
Annual IC Time Burden (Hours) 36,490 0 0 8,991 27,499 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
60.3.4.1- Process for Good Cause Determinations for Nonpayment of Plan Premiums 11/02/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.