Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Model Employer CHIP Notice (Private Sector Burden) Modified 162656474 653337 15680084 Other-Model Notice
Other-Model Notice Spanish
Model Employer CHIP Notice (State, Local, Tribal Governmental Burden) Modified 13317167 53491 1283775 Other-Model Notice
Other-Model Notice Spanish
Total burden requested under this ICR: 175973641 706828 16963859  
To view an IC, click on IC Title