Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Glossary	New	1199999	10500	365004
Modifications	New	1499999	9000	320010
Summary of Benefits and Coverage	New	77000000	630000	4350007	Form	NEW	Summary of Benefits and Coverage (SBC) Template
					Instruction
					Instruction
					Other-Model
					Other-Model
Total burden requested under this ICR:		79699998	649500	5035021
To view an IC, click on IC Title