Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Glossary Modified 1526350 12720 572381
Modifications Modified 1336000 4854 276686
Summary of Benefits and Coverage Modified 69964644 310691 6191299 Other-SBC template-April 2017
Instruction
Other-SBC Sample Glossary
Other-SBC Yes Answers -- Why This Matters
Other-SBC - No Answers - Why This Matters
Other-Template
Other-Template
Other-Template
Instruction
Other-Narrative
Other-Narrative
Other-Narrative
Other-SBC template- 2012
Instruction
Other-SBC Yes Answers--Why This Matters
Other-No Answers- Why This Matters
Other-Template
Other-Template
Other-Narrative
Other-Narrative
Instruction
Other-Coverage Calculator
Other-Coverage Calculator
Total burden requested under this ICR: 72826994 328265 7040366  
To view an IC, click on IC Title