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 19 19 0 Other-Microsoft Word
Instruction
Health Insurance Issuer Submission of the Preliminary Justification Modified 3665 41213 0 Other-Microsoft Word
Instruction
State Unreasonable Rate Increase Determinations Modified 402 133 0
Total burden requested under this ICR: 4086 41365 0  
To view an IC, click on IC Title