Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
General Notice of Pre-Existing Condition Exclusion Under Group Health Plans Modified 2570485 1928 356868
Individual Notice of Preexisting Condition Exclusion under Group Health Plans New 1261852 3786 763841
Total burden requested under this ICR: 3832337 5714 1120709  
To view an IC, click on IC Title