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Form Approved
OMB No. 09381191Application for Health Coverage & Help To pay Costs
Use this application to
see what coverage you
qualify for Marketplace plans that offer comprehensive coverage to help
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Form approved by OMB (Office of Management and Budget) number is an identifier assigned to a specific form used by federal agencies to collect information. It indicates that the form has been reviewed and approved for public use, ensuring compliance with federal regulations.
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Individuals, businesses, or organizations that are required to report specific information to a federal agency as defined by the agency's regulations are required to file forms that include an OMB number.
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To fill out a form approved by OMB, carefully read the instructions provided with the form, ensure all required fields are completed accurately, and provide any necessary supporting documentation before submitting it to the relevant agency.
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The purpose of the form approved by OMB is to collect, record, and report information required by federal regulations, thus facilitating decision-making, compliance, and reporting processes for agencies and individuals.
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