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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Glossary
Modified
1627758
13565
634826
Other-Uniform Glossary- November 2019
Modifications
Modified
1458000
5079
298628
Summary of Benefits and Coverage
Modified
77096540
294846
6672534
Other-SBC template-Nov 2019
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-Coverage Calculator
Other-AIAN Limited Cost Sharing
Other-AIAN Zero Cost Sharing
Other-Crosswalk of Changes
Instruction
Other-List of Anchors
Other-Sample Completed- SBC Accessible Format
Other-Sample Completed- SBC Standard Format
Other-SBC Template Accessible Format
Total burden requested under this ICR:
80182298
313490
7605988
To view an IC, click on IC Title