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Agenda
Reg Review
ICR
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
150416
0
Form
CM 1173
Form
OWCP 1500
Form
OWCP 82
Total burden requested under this ICR:
877000
150416
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
