Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
UNIFORM HEALTH INSURANCE CLAIM FORM, HEALTH INSURANCE CLAIM FORM, AND RESUBMISSION TURNAROUND DOCUMENT Migrated 877000 174266 0 Form OWCP 1500
Form OWCP 82
Form CM 1173
Total burden requested under this ICR: 877000 174266 0  
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