Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Insurance Issuer Submission of Final Justification for Unreasonable Rate Increases Modified 1201 1201 0 Other-Microsoft Word
Health Insurance Issuer Submission of the Preliminary Justification Modified 1201 13211 0 Other-Microsoft Word
One-Time Health Insurance Issuer Start-Up Costs Modified 419 62550 0
Ongoing Compliance (2012-2013) Modified 419 14039 0
State Unreasonable Rate Increase Determinations Modified 661 218 0
Total burden requested under this ICR: 3901 91219 0  
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