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 1090928 1591 320671
Individual Notice of Preexisting Condition Exclusion under Group Health Plans Modified 575411 3452 731390
Total burden requested under this ICR: 1666339 5043 1052061  
To view an IC, click on IC Title