OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Operational Metrics - Monthly Reports

IC 208345 under ICR 201411-0938-005 · OMB 0938-1119.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Operational Metrics - Monthly Reports
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10371 Exchange Establishment Grants FOA 2012 Exchange Establishment FOA 02_21_12 clean for PRA posting DRAFT.docx No No Fillable Fileable
Form and Instruction CMS-10371 Operational Metric – SBM Open Enrollment Weekly Indicators 0938-1119 (Operational Metric) SBM Open Enrollment Weekly Indicators Rev 9_5_2013 Word-508.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

16 0
   
State, Local, and Tribal Governments
 
   0 %

  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 96 0 0 0 0 96
Annual IC Time Burden (Hours) 2,304 0 0 0 0 2,304
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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