Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificate of Coverage Request --Individuals 20 CFR 404.1913 Modified 40000 20000 0 Instruction
Instruction
Certificate of Coverage Request--Private Sector 20 CFR 404.1913 Modified 30000 15000 0 Instruction
Instruction
Total burden requested under this ICR: 70000 35000 0  
To view an IC, click on IC Title