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Subpart D-Exchange Functions in the Individual Market: Eligibility Determinations for Exchange Participation and Insurance Affordability
No Modified
Required to Obtain or Retain Benefits
45 CFR 155.302 45 CFR 155.345

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Elements CMS-10468 - Appendix A - Data Elementsfr.pdf Yes Yes Printable Only

Health Health Care Services


1,082 0
State, Local, and Tribal Governments
   100 %

  Approved 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 1,082 0 0 1,069 0 13
Annual IC Time Burden (Hours) 24,354 0 0 24,267 0 87
Annual IC Cost Burden (Dollars) 2,827,266 0 0 2,826,447 0 819

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