Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 13560, HCTC Health Plan Administrator (HPA) Return of Funds Form, and Form 13561, HCTC Health Plan Administrators Operations Guide Migrated 200 50 0 Form 13560
Form 13561
Total burden requested under this ICR: 200 50 0  
To view an IC, click on IC Title