State Health Insurance Assistance Program Annual Sub-Recipients Report

ICR 202310-0985-005

OMB: 0985-0070

Federal Form Document

Forms and Documents

Document Name	Status
State Health Insurance Assistance Program Annual Sub-Recipients Report Form and Instruction	Modified
0070 Supporting Statement SHIP Partner Dec 2023_OHIC edits.docx Supporting Statement A	2023-12-29

IC Document Collections

IC ID	Document Title	Status
244264	State Health Insurance Assistance Program Annual Sub-Recipients Report Form and Instruction	Modified