View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1190	ICR Reference No: 201311-0938-010
Status: Historical Active	Previous ICR Reference No: 201308-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: 20718
Title: Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/19/2013
	Date Received in OIRA: 11/12/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	09/30/2016
Responses	12,000,108	0	12,000,108
Time Burden (Hours)	3,263,605	0	3,263,605
Cost Burden (Dollars)	600,000	0	600,000

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	12,000,108	12,000,108
Annual Time Burden (Hours)	3,263,605	3,263,605
Annual Cost Burden (Dollars)	600,000	600,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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