Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Model Employer CHIP Notice (Private Sector Burden) Modified 174347154 900519 21619363 Other-Model Notice
Other-Model Notice Spanish
Model Employer CHIP Notice (State, Local, Tribal Governmental Burden) Modified 2222846 11481 275637 Other-Model Notice
Other-Model Notice Spanish
Total burden requested under this ICR: 176570000 912000 21895000  
To view an IC, click on IC Title