Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Insurance Issuer Submission of Final Justification for Unreasonable Rate Increases Modified 413 413 0 Other-Microsoft Word
Health Insurance Issuer Submission of the Preliminary Justification Modified 7650 84150 0 Other-Microsoft Word
State Unreasonable Rate Increase Determinations Modified 1293 427 0
Total burden requested under this ICR: 9356 84990 0  
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