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 3254283 2373 453901
Individual Notice of Preexisting Condition Exclusion under Group Health Plans Modified 1429258 4288 865763
Total burden requested under this ICR: 4683541 6661 1319664  
To view an IC, click on IC Title